Provider Demographics
NPI:1134707706
Name:STRONGMAN, CRISTIE (MA, EDM)
Entity type:Individual
Prefix:
First Name:CRISTIE
Middle Name:
Last Name:STRONGMAN
Suffix:
Gender:F
Credentials:MA, EDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E 23RD ST STE 400
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4582
Mailing Address - Country:US
Mailing Address - Phone:212-951-0947
Mailing Address - Fax:
Practice Address - Street 1:125 E 23RD ST STE 400
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4582
Practice Address - Country:US
Practice Address - Phone:212-951-0947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00000Medicaid