| Kristina Theresa Dimezza, PHYSICIAN ASSISTANT | |
| 50 Ny 25-a, Smithtown, NY 11787-4916 | |
| (631) 862-3000 | |
| Not Available | 
| Full Name | Kristina Theresa Dimezza | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 50 Ny 25-a, Smithtown, New York | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306210216 | NPI | - | NPPES | 
| 04354629 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 019235 (New York) | Secondary | 
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kristina Theresa Dimezza, PHYSICIAN ASSISTANT 225 Eastview Dr, Central Islip, NY 11722-4539 Ph: (631) 665-1600 | Kristina Theresa Dimezza, PHYSICIAN ASSISTANT 50 Ny 25-a, Smithtown, NY 11787-4916 Ph: (631) 862-3000 | 
| Ms. Evelyn Morales, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 732 Smithtown Byp, Suite 303, Smithtown, NY 11787 Phone: 631-361-7100 Fax: 631-361-9181 | |
| Mr. Kirby Bennett Turner, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 994 W Jericho Tpke Ste 104, Smithtown, NY 11787 Phone: 631-543-1440 | |
| Amanda Mae Rosenfeld, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Edgewood Ave, Suite 100, Smithtown, NY 11787 Phone: 631-979-8508 | |
| Jesse Damm,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 5 Branch Dr, Smithtown, NY 11787 Phone: 631-406-3518 | |
| Mr. Elcid Dilodilo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Route 25a, Smithtown, NY 11787 Phone: 631-862-3000 | |
| Jenna Nicole Goldstein, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 285 Middle Country Road, #105, Smithtown, NY 11787 Phone: 631-509-0390 | |
| Caroline Grace Garretson,  Physician Assistant Medicare: Medicare Enrolled Practice Location: 994 W Jericho Tpke Ste 104, Smithtown, NY 11787 Phone: 631-543-1440 |