National Provider Identifier

Corinne P Krist, D.O.

Corinne P Krist, D.O. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Irving, NY and a listed phone number of (716) 532-5582.

NPI 1417258880Irving, NYPediatrics Physician

Profile Overview

NPI
1417258880
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
November 16, 2010
Last Updated
December 12, 2025

Practice Location

  • 275 Thomas Indian School Dr
  • Irving, NY 14081-9341

Phone: (716) 532-5582

Mailing Address

  • 987 R C Hoag Dr
  • Salamanca, NY 14779-1365

Specialties

  • Pediatrics Physician (208000000X)
  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1417258880
Entity Type
Individual
Last Name
Krist
First Name
Corinne
Middle Name
P
Name Prefix
Dr.
Credential
D.O.
Provider Other Last Name
Kelly
Provider Other First Name
Corinne
Provider Other Middle Name
Patricia
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
D.O.
Provider Other Last Name Type Code
1
Mailing Street Address
987 R C Hoag Dr
Mailing City
Salamanca
Mailing State
NY
Mailing ZIP Code
14779-1365
Mailing Country
US
Mailing Phone
(716) 945-5894
Mailing Fax
(716) 242-6345
Practice Street Address
275 Thomas Indian School Dr
Practice City
Irving
Practice State
NY
Practice ZIP Code
14081-9341
Practice Country
US
Practice Phone
(716) 532-5582
Practice Fax
(716) 242-6344
Enumeration Date
November 16, 2010
Last Updated
December 12, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
December 12, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X), Internal Medicine Physician (207R00000X)
Other Identifiers
03383924 (NY)