Individual
DEIDRA CASSANDRA KNAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
720 HOOSICK RD, TROY, NY 12180-6673
(518) 272-7191
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344736
NY
Other
Enumeration date
05/13/2019
Last updated
07/30/2024
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