Provider Demographics
NPI:1730241365
Name:KRIGSMAN, SHEREE ALISE (MD)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:ALISE
Last Name:KRIGSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:80 JUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-3011
Mailing Address - Country:US
Mailing Address - Phone:914-693-0113
Mailing Address - Fax:212-263-0202
Practice Address - Street 1:FIRST AVE & 27TH ST
Practice Address - Street 2:NB 21S28
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-562-3498
Practice Address - Fax:212-263-0202
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1788922084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF19925Medicare UPIN