Healthcare Provider Details

I. General information

NPI: 1245173632
Provider Name (Legal Business Name): KRISTIN LEIGH DEL GRECO APRN FNP C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 PHILLIPS HILL RD
NEW CITY NY
10956-2017
US

IV. Provider business mailing address

305 HILL TER
NORTHVALE NJ
07647-1601
US

V. Phone/Fax

Practice location:
  • Phone: 201-446-7862
  • Fax:
Mailing address:
  • Phone: 201-446-7862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number360349
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: