Individual
CHRYSTYNA STASYSHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
149 MADISON AVE SUITE #702, NEW YORK, NY 10016
(917) 524-7246
Mailing address
6169 69TH PL, MIDDLE VILLAGE, NY 11379-1126
(718) 440-2285
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013930
NY
Other
Enumeration date
06/14/2010
Last updated
10/10/2016
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