Healthcare Provider Details

I. General information

NPI: 1053756130
Provider Name (Legal Business Name): KRISTIN MARY DIGREGORIO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2013
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 S RIDGE ST
RYE BROOK NY
10573-2811
US

IV. Provider business mailing address

90 S RIDGE ST STE 2-201
RYE BROOK NY
10573-2811
US

V. Phone/Fax

Practice location:
  • Phone: 924-265-6060
  • Fax:
Mailing address:
  • Phone: 914-235-6060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number883921
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number286540
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: