Provider Demographics
NPI:1962385930
Name:AKISTER, KRISTEN DANIELLE (MD PHD FRCSC)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:DANIELLE
Last Name:AKISTER
Suffix:
Gender:F
Credentials:MD PHD FRCSC
Other - Prefix:DR
Other - First Name:KRISTEN
Other - Middle Name:DANIELLE
Other - Last Name:MARCINIUK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD PHD FRCSC
Mailing Address - Street 1:462 1ST AVE STE 7S4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:212-263-6416
Mailing Address - Fax:
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program