| Provider / Organization | NPI | Date Certified |
|---|---|---|
| IVAN KRYSHTAL | 1568198521 | 2022-07-31 |
Ivan Kryshtal is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568198521. Registration indicates Ivan Kryshtal is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Dr. Ivan Kryshtal |
| Practice Office Address | 1 BROOKDALE PLZ BROOKLYN, NY US |
| Practice Office Telephone | 7182406347 |
| Mailing Address | 1355 E 18TH ST APT 4K BROOKLYN, NY 112307566 US |
| Business Telephone | 6462883400 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |