MEDICARE: DR. KRISTEN M NYGREN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	246085	NY

General Provider Information

NPI Number	:	1013187723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTEN M NYGREN M.D.

Provider Business Mailing Address
First Line	:	802 9TH AVE APT 4B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-5642
Country	:	US
Telephone Number	:	844-263-0400
Fax Number	:	855-623-1114

Provider Business Practice Location Address
First Line	:	802 9TH AVE APT 4B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-5642
Country	:	US
Telephone Number	:	844-263-0400
Fax Number	:	929-596-7897

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	04/09/2025

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