Individual
KRISTEN TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1099 JAY ST BLDG P, ROCHESTER, NY 14611-1164
(585) 865-1550
Mailing address
1795 HUDSON AVE APT 203, ROCHESTER, NY 14617-5159
(585) 261-7087
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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