Individual
VICKI KRITSOVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2662
Mailing address
117 W 124TH ST FL 6, NEW YORK, NY 10027-4920
(035) 719-6732
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
224679
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
043103
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001431030
—
CT
Enumeration date
07/11/2006
Last updated
11/16/2021
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