Individual
MS. CONSTANCE KIELTYKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
523 BEAVERKILL RD, OLIVEBRIDGE, NY 12461-5705
(845) 657-5899
Mailing address
523 BEAVERKILL RD, OLIVEBRIDGE, NY 12461-5705
(845) 657-5899
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
F420906-1
NY
367A00000X
Advanced Practice Midwife
Primary
F001328-1
NY
Other
Enumeration date
12/18/2008
Last updated
06/21/2011
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