Individual
DR. KRISTIN MARIE LOGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4068 ALBANY POST RD, HYDE PARK, NY 12538-3900
(845) 229-2123
(845) 229-6313
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-2160
(860) 679-1042
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
052967
CT
207RR0500X
Rheumatology Physician
Primary
289661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04817983
—
NY
05
—
1336376516
—
CT
Enumeration date
06/16/2009
Last updated
03/17/2018
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