Provider Demographics
NPI:1487640652
Name:NASO, KRISTIN PATRICK (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:PATRICK
Last Name:NASO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:57 HAMPTON RD
Mailing Address - Street 2:STE 201
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-4973
Mailing Address - Country:US
Mailing Address - Phone:631-283-1126
Mailing Address - Fax:631-259-3183
Practice Address - Street 1:223 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-5027
Practice Address - Country:US
Practice Address - Phone:631-283-0090
Practice Address - Fax:631-287-1037
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2020-03-10
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Provider Licenses
StateLicense IDTaxonomies
NY173069-1207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE44874Medicare UPIN