Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Corrine Risom, PA-C

Individual provider Surgical Physician Assistant · NPI 1366840076

Kristen Corrine Risom, PA-C is a Surgical Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1111 Amsterdam Ave # CLARK7
New York, NY 10025-1716
Phone: (212) 523-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 018318 (NY)

Record details

NPI number1366840076
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 11, 2014
Last updated in NPPESJanuary 5, 2015

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