Individual
DR. KRISTEN A OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9 BROOKSITE DR, SUITE 1, SMITHTOWN, NY 11787-3400
(631) 724-1331
(631) 360-5646
Mailing address
9 BROOKSITE DR, SUITE 1, SMITHTOWN, NY 11787-3400
(631) 724-1331
(631) 360-5646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
231689
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02639114
—
NY
Enumeration date
07/11/2006
Last updated
05/02/2008
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