Individual
ANGELA KRISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005300
NY
363AM0700X
Medical Physician Assistant
Primary
005300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02822411
—
NY
Enumeration date
07/11/2006
Last updated
04/10/2015
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