Individual
KRISTOFER GENERALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1055 SUMMER ST STE 2, STAMFORD, CT 06905-5527
(914) 413-2324
(203) 547-4914
Mailing address
24 LEWIS RD, STAMFORD, CT 06905-2213
(914) 413-2324
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12051
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F405084-01
NY
Other
Enumeration date
07/06/2023
Last updated
03/25/2025
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