Provider Demographics
NPI:1437365319
Name:KRYSTYNA, ANNIKA EVELYN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNIKA
Middle Name:EVELYN
Last Name:KRYSTYNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 183
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-0183
Mailing Address - Country:US
Mailing Address - Phone:347-610-4964
Mailing Address - Fax:
Practice Address - Street 1:234 E 149TH ST # 2A7
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5504
Practice Address - Country:US
Practice Address - Phone:718-579-5710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234011208D00000X, 208600000X
NY252640207T00000X, 208800000X, 208D00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No208800000XAllopathic & Osteopathic PhysiciansUrology