Provider Demographics
NPI:1073991006
Name:KRISTAL, ANAT (MSC- PT)
Entity Type:Individual
Prefix:MS
First Name:ANAT
Middle Name:
Last Name:KRISTAL
Suffix:
Gender:F
Credentials:MSC- PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-1524
Mailing Address - Country:US
Mailing Address - Phone:914-308-0016
Mailing Address - Fax:
Practice Address - Street 1:666 LEXINGTON AVE
Practice Address - Street 2:SUITE NUMBER 210
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3632
Practice Address - Country:US
Practice Address - Phone:914-666-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035332-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic