Individual
KRISTIN A. LOUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 NEW YORK RD, PLATTSBURGH, NY 12903-3981
(518) 561-3803
(518) 561-3805
Mailing address
77 BRINKERHOFF ST, PLATTSBURGH, NY 12901-2703
(518) 534-0222
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1757917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1757917
SPECIAL EDUCATION TEACHER
NY
Enumeration date
07/14/2014
Last updated
07/14/2014
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