Individual
ALLISON LEIGH KOLKHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RAPP RD, ALBANY, NY 12203-4491
(518) 867-3061
Mailing address
1 SKYLINE DR, LATHAM, NY 12110-5221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17400000X
—
NY
Enumeration date
09/07/2017
Last updated
09/07/2017
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