Dr KLARISSE L MATHIS is a female medical professional, specializing in Physician Assistant. She graduated in 2004.
NORTH SHORE-LIJ MEDICAL PC
100 E 77TH ST
NEW YORK
NY
100751850
Tel:
| Npi | 1093002198 |
| Pac Id | 0042473530 |
| Professional Enrollment Id | I20120521000246 |
| Last Name | MATHIS |
| First Name | KLARISSE |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | NORTH SHORE-LIJ MEDICAL PC |
| Group Practice Pac Id | 3375701568 |
| Number Of Group Practice Members | 3220 |
| Line 1 Street Address | 100 E 77TH ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NEW YORK |
| State | NY |
| Zip Code | 100751850 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 330119 |
| Hospital Affiliation Lbn 1 | LENOX HILL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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