Individual
PROF. KRYSTLE CHALICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
JD
Contact information
Practice address
121 CAROLINE ST, SARATOGA SPRINGS, NY 12866-3338
(518) 312-9899
Mailing address
121 CAROLINE ST., UNIT 2 SARIZEN, SARATOGA SPRINGS, NY 12866-3338
(518) 312-9899
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
906369002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BF40661J-00
—
NY
01
—
DBF40661J
CDPHP - MCO
NY
01
—
S2012
CONSOLIDATED HEALTH PLAN MAGNACARE
—
Enumeration date
05/31/2022
Last updated
04/30/2024
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