Individual
CRISTINA MARIA MISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10744 MAIN STREET, NORTH COLLINS, NY 14111-0000
(716) 337-3010
Mailing address
10744 MAIN STREET, PO BOX 388, NORTH COLLINS, NY 14111-0000
(716) 337-3010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
167743
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01028591
—
NY
Enumeration date
07/16/2008
Last updated
03/08/2011
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