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

Krysten Vazquez, MMS, RPAC

Individual provider Medical Physician Assistant · NPI 1366978702

Krysten Vazquez, MMS, RPAC is a Physician Assistant in Corona, New York. Graduated from Wake Forest University School of Medicine in 2017, 9 years ago. Practices with Suffolk Primary Health LLC, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Trained at
Wake Forest University School of Medicine
Licensed in
NY
In the registry since
2017

Practice location Address checks out

3716 108th St
Corona, NY 11368-2025
Phone: (718) 651-4000
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 020916 (NY)

Record details

NPI number1366978702
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , RPAC
Sole proprietorNo
NPI enumeratedMay 4, 2017
Last updated in NPPESJuly 19, 2017
Mailing address3716 108th St, Corona, NY 11368-2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Suffolk Primary Health Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Corona