Individual
CRISTIE LEE VASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1279 E MAIN ST, RIVERHEAD, NY 11901-2583
(631) 727-2100
Mailing address
676 COUNTY ROAD 39A, SOUTHAMPTON, NY 11968-5241
(631) 283-2070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011795-1
NY
Other
Enumeration date
05/16/2007
Last updated
09/20/2022
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