Provider / Organization | NPI | Date Certified |
---|---|---|
KRISTINA CORVESE BYSTRAK | 1326602004 | 2022-08-07 |
Kristina Corvese Bystrak is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1326602004. Registration indicates Kristina Corvese Bystrak is a provider of services with a specialization in Foot & Ankle Surgery (Podiatrist) (Podiatric Medicine & Surgery Service Providers, Podiatrist) (Podiatrist: Foot & Ankle Surgery, ) (Podiatry, ) (Podiatrist Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers) (Podiatrist, )
Entity Type | Individual |
Provider Name | Miss Kristina Corvese Bystrak DPM |
Practice Office Address | 114 WOODLAND ST HARTFORD, CT US |
Practice Office Telephone | 8607145911 |
Mailing Address | 8 MARGARET TER WOLCOTT, CT 067162546 US |
Business Telephone | 2035580674 |
Code | Practice | License No State |
---|---|---|
213ES0103X PRIMARY | Foot & Ankle Surgery (Podiatrist), Podiatric Medicine & Surgery Service Providers Podiatrist Podiatrist: Foot & Ankle Surgery Podiatry Podiatrist Foot & Ankle Surgery Podiatric Medicine & Surgery Service Providers Podiatrist | 1132
CT |