Individual
CRISTINA LISARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
670 HAZELHURST AVE, WATERTOWN, NY 13601-1332
(954) 696-6837
Mailing address
670 HAZELHURST AVE, WATERTOWN, NY 13601-1332
(954) 696-6837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
357635
NY
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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