Most Relevant Information
Provider Data
| NPI Number: | 1003467101 |
| Provider Name: | KRISTEN COLANDREA PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 402842 |
Most Important Dates
| Enumeration Date: | 09/20/2019 |
| Last Updated: | 09/20/2019 |
Provider Practice Location
475 SEAVIEW AVE
STATEN ISLAND
NY
103053436
Practice Location Phone/Fax
| Phone: | 3476814146 |
| Fax: |
Provider Mailing Location
475 SEAVIEW AVE
STATEN ISLAND
NY
103053436
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |