Provider Demographics
NPI:1386973865
Name:ZADROZNY, KRISTY (LMT, CD)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:ZADROZNY
Suffix:
Gender:F
Credentials:LMT, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 16TH ST APT 3R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5933
Mailing Address - Country:US
Mailing Address - Phone:646-265-2590
Mailing Address - Fax:
Practice Address - Street 1:521 16TH ST APT 3R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5933
Practice Address - Country:US
Practice Address - Phone:646-265-2590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
NYP116741106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No374J00000XNursing Service Related ProvidersDoula