Provider Demographics
NPI:1265261986
Name:ORLANDO, KRISTI GENEVIERE (NP)
Entity type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:GENEVIERE
Last Name:ORLANDO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:KRISTI
Other - Middle Name:GENEVIERE
Other - Last Name:LEICHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:28 LIPTON LANE
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-1524
Mailing Address - Country:US
Mailing Address - Phone:516-314-2804
Mailing Address - Fax:
Practice Address - Street 1:777 NORTH BROADWAY
Practice Address - Street 2:SUITE 305
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591
Practice Address - Country:US
Practice Address - Phone:914-366-5420
Practice Address - Fax:914-366-5421
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY354868363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily