Provider Demographics
NPI:1841439205
Name:GURZI, KRISTEN
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:GURZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:
Other - Last Name:IORIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26 COBBLESTONE PL
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-2602
Mailing Address - Country:US
Mailing Address - Phone:914-844-9585
Mailing Address - Fax:
Practice Address - Street 1:295 PARK AVE S APT 7P
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4522
Practice Address - Country:US
Practice Address - Phone:914-844-9585
Practice Address - Fax:212-677-2377
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018717235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist