Individual
JOSEPH KRISTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 W 165TH ST, NEW YORK, NY 10032-3724
(212) 305-9535
Mailing address
3332 ROCHAMBEAU AVE RM 306, BRONX, NY 10467-2836
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
309327
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2017
Last updated
05/21/2021
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