Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristina Theresa Dimezza, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1306210216

Kristina Theresa Dimezza, PHYSICIANASSISTANT is a Surgical Physician Assistant in Smithtown, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

50 Ny 25-A
Smithtown, NY 11787-4916
Phone: (631) 862-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 019235 (NY)

Record details

NPI number1306210216
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 17, 2015
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021

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