National Provider Identifier
Krista Condon
Krista Condon is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 328-0740.
Profile Overview
- NPI
- 1952864530
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- April 10, 2019
- Last Updated
- April 10, 2019
Practice Location
- 1099 Jay St Bldg J
- Rochester, NY 14611-1153
Phone: (585) 328-0740
Mailing Address
- 1099 Jay St Bldg P
- Rochester, NY 14611-1164
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1952864530
- Entity Type
- Individual
- Last Name
- Condon
- First Name
- Krista
- Provider Other Last Name
- Johnson
- Provider Other First Name
- Krista
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 1099 Jay St Bldg P
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-1164
- Mailing Country
- US
- Mailing Phone
- (585) 328-0740
- Practice Street Address
- 1099 Jay St Bldg J
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1153
- Practice Country
- US
- Practice Phone
- (585) 328-0740
- Enumeration Date
- April 10, 2019
- Last Updated
- April 10, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)