Provider Demographics
NPI:1598700536
Name:ALLISON, KRISTIN L (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:L
Last Name:ALLISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:A
Other - Last Name:GIUDICI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:384 CRYSTAL RUN RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-4013
Mailing Address - Country:US
Mailing Address - Phone:845-692-8780
Mailing Address - Fax:845-692-3439
Practice Address - Street 1:384 CRYSTAL RUN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-4013
Practice Address - Country:US
Practice Address - Phone:845-692-8780
Practice Address - Fax:845-692-3439
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2314662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNEW YORK LICENSEOther231466