National Provider Identifier

Kristin L Swanstrom, PA-C

Kristin L Swanstrom, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 272-5011.

NPI 1992035216Ithaca, NYPhysician Assistant

Profile Overview

NPI
1992035216
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
January 08, 2010
Last Updated
March 01, 2017

Practice Location

  • 2435 N Triphammer RD
  • Ithaca, NY 14850-1047

Phone: (607) 272-5011

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1992035216
Entity Type
Individual
Last Name
Swanstrom
First Name
Kristin
Middle Name
L
Credential
PA-C
Mailing Street Address
2435 N Triphammer RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1047
Mailing Country
US
Mailing Phone
(607) 272-5011
Mailing Fax
(607) 272-5861
Practice Street Address
2435 N Triphammer RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1047
Practice Country
US
Practice Phone
(607) 272-5011
Practice Fax
(607) 272-5861
Enumeration Date
January 08, 2010
Last Updated
March 01, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)