Individual
MS. KRISTINA LEIGH KUPRYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
245 DIAMOND BRIDGE AVENUE, HAWTHORNE, NJ 07506
(973) 427-0600
Mailing address
169 HILLCREST DR, WAYNE, NJ 07470-5629
(862) 226-1149
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00266800
NJ
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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