Provider Demographics
NPI:1609668763
Name:ASTUDILLO, CRISTAL ALBINA
Entity type:Individual
Prefix:
First Name:CRISTAL
Middle Name:ALBINA
Last Name:ASTUDILLO
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 1:10814 72ND AVE 2ND FL
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5301
Mailing Address - Country:US
Mailing Address - Phone:347-392-4882
Mailing Address - Fax:347-392-4892
Practice Address - Street 1:10814 72ND AVE 2ND FL
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5301
Practice Address - Country:US
Practice Address - Phone:347-392-4482
Practice Address - Fax:347-392-4492
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist