ROSS KRISTAL

BRONX, NY
NPI1023497815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CT  60588)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NY  297825)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-05-26
Last Update Date2019-06-20
Business Address
ROSS KRISTAL M.D.
545 E 142ND ST
BRONX, NY 10454
Phone number: 844-692-4692
Mailing Address
ROSS KRISTAL M.D.
4415 34TH AVE APT 4C
LONG ISLAND CITY, NY 11101-1058
Phone number: 954-292-8197