# KRISHTUL MEDICAL GROUP, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851572895
- **Authorized official:** ALEXABDER KRISHTUL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (866) 366-3060

## Contact information

- **Practice address:** 436 86TH ST, BROOKLYN, NY 11209-4708
- **Practice address phone:** (718) 238-0456
- **Practice address fax:** (718) 238-0458
- **Mailing address:** 11 PENN PLZ, SUITE 500, NEW YORK, NY 10001-2006
- **Mailing address phone:** (866) 366-3060
- **Mailing address fax:** (202) 349-0354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 237383-1 | NY | Yes |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 11/19/2007