Individual
KRISTIN L MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
125 FINNEY BLVD, MALONE, NY 12953-1067
(518) 481-8160
(518) 481-8161
Mailing address
125 FINNEY BLVD, MALONE, NY 12953-1067
(518) 481-8160
(518) 481-8161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
272786
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03861103
—
NY
Enumeration date
08/08/2011
Last updated
03/24/2026
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