Provider Demographics
NPI:1891365318
Name:PRIZZIA, KRISTEN LALIK
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:LALIK
Last Name:PRIZZIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 IDLEWILD RD
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NY
Mailing Address - Zip Code:12542-5503
Mailing Address - Country:US
Mailing Address - Phone:914-960-2282
Mailing Address - Fax:
Practice Address - Street 1:56 JUNE RD
Practice Address - Street 2:
Practice Address - City:NORTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10560-1702
Practice Address - Country:US
Practice Address - Phone:914-774-3608
Practice Address - Fax:866-398-5594
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist