Provider Demographics
NPI:1376680306
Name:CROSSMAN, ANDRYA MITTSU (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDRYA
Middle Name:MITTSU
Last Name:CROSSMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:122 E 42ND ST
Mailing Address - Street 2:17TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10168-0002
Mailing Address - Country:US
Mailing Address - Phone:646-808-7536
Mailing Address - Fax:877-512-4792
Practice Address - Street 1:59 E 54TH ST RM 83
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-9206
Practice Address - Country:US
Practice Address - Phone:646-808-7536
Practice Address - Fax:877-512-4792
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2021-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2306762084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry