Individual
KRISTIN SHEPPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 5TH AVE, NEW YORK, NY 10128-0104
(212) 988-8269
Mailing address
1060 5TH AVE, NEW YORK, NY 10128-0104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MB12749500
NJ
208600000X
Surgery Physician
Primary
337498-01
NY
Other
Enumeration date
03/24/2020
Last updated
12/02/2025
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