Provider Demographics
NPI:1598586265
Name:MARHUNOVA, KRYSTSINA
Entity type:Individual
Prefix:
First Name:KRYSTSINA
Middle Name:
Last Name:MARHUNOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 NEW BRITAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-4033
Mailing Address - Country:US
Mailing Address - Phone:860-578-2314
Mailing Address - Fax:888-370-4970
Practice Address - Street 1:30 LAKE STREET
Practice Address - Street 2:APARTMENT 7G
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603
Practice Address - Country:US
Practice Address - Phone:914-755-5004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-24
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered