Individual
KRISTINE MARIE WOHLFAHRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5723
(518) 262-4974
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5723
(518) 262-4974
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
331419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00250659
—
NY
Enumeration date
10/28/2005
Last updated
12/12/2011
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