# KINTSUGI: INTEGRATIVE PRACTICE NP IN PSYCHIATRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KINTSUGI: INTEGRATIVE PRACTICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295503217
- **Authorized official:** VERA IMPERIALE ANP (OWNER)
- **Authorized official phone:** (518) 423-1978

## Contact information

- **Practice address:** 501 NEW KARNER RD STE 9, ALBANY, NY 12205-3882
- **Practice address phone:** (518) 456-3689
- **Mailing address:** 501 NEW KARNER RD STE 9, ALBANY, NY 12205-3882
- **Mailing address phone:** (518) 456-3689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2023
- **Last updated:** 12/19/2023