Organization
ALFRED E KRISTENSEN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED KRISTENSEN MD (MEMBER)
(518) 761-2663
Entity
Organization
Contact information
Practice address
543 BAY RD, QUEENSBURY, NY 12804-1441
(518) 761-2663
(518) 761-6831
Mailing address
543 BAY RD, QUEENSBURY, NY 12804-1441
(518) 761-2663
(518) 761-6831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
103714
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00359779
—
NY
Enumeration date
05/30/2008
Last updated
05/30/2008
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