Organization
KINTSUGI: INTEGRATIVE PRACTICE NP IN PSYCHIATRY, PLLC
Active
Other names
KINTSUGI: INTEGRATIVE PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
VERA IMPERIALE ANP (OWNER)
(518) 423-1978
Entity
Organization
Contact information
Practice address
501 NEW KARNER RD STE 9, ALBANY, NY 12205-3882
(518) 456-3689
Mailing address
501 NEW KARNER RD STE 9, ALBANY, NY 12205-3882
(518) 456-3689
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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