Individual
DEBRA JO KRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1735
(607) 773-4044
(607) 773-4100
Mailing address
103 LAKEVIEW TER, BINGHAMTON, NY 13904-2924
(607) 743-4417
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
583447-1
NY
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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