Individual provider · Type 1 NPI

Kristin Willoughby

Specialist · New York, NY

NPI number 1619239134 Active

Practice location

910 W End Ave, Suite 1C
New York, NY 10025-3533

Call (212) 662-9034 Map

Mailing address

300 Somerset St, Apt 264
Harrison, NJ 07029-2340

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X306738091 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1619239134

Kristin Willoughby's National Provider Identifier is 1619239134, issued on Jun 11, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Jun 11, 2012.