Individual
MICHELLE M KISIEL-COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3761 MAIN ST, WARRENSBURG, NY 12885-1837
(518) 623-3918
(518) 623-4330
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 824-2388
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02566127
—
NY
Enumeration date
08/01/2006
Last updated
08/18/2022
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