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Individual

KATHARINE KRUSHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(332) 243-1600
Mailing address
1090 AMSTERDAM AVE, NEW YORK, NY 10025-1737

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
317354
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
205465
CA LICENSE
CA
01
25MA12819500
NJ LICENSE
NJ
01
317354
NY LICENSE
NY
01
61343
KY LICENSE
KY
01
82808
CT LICENSE
CT
01
ME170890
FL LICENSE
FL
Enumeration date
03/27/2020
Last updated
04/10/2026
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