Provider Demographics
NPI:1013187723
Name:NYGREN, KRISTEN M (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:M
Last Name:NYGREN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:802 9TH AVE APT 4B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5642
Mailing Address - Country:US
Mailing Address - Phone:844-263-0400
Mailing Address - Fax:855-623-1114
Practice Address - Street 1:802 9TH AVE APT 4B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5642
Practice Address - Country:US
Practice Address - Phone:844-263-0400
Practice Address - Fax:929-596-7897
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2025-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2460852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPENDINGMedicare PIN