Individual
DR. KIRSTEN HAMILTON DEGONZAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
344 FULLER RD, INNER BALANCE CHIROPRACTIC, ALBANY, NY 12203-3647
(518) 482-2003
(518) 482-2087
Mailing address
44 SWARTSON CT, ALBANY, NY 12209-1237
(518) 489-0963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009755-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10095460
CDPHP PROVIDER NUMBER
NY
01
—
CO9755-2
WORKER COMP
NY
Enumeration date
10/10/2006
Last updated
06/30/2008
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