Individual
JUDE ANN KOBLENZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180
(518) 270-3094
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305614
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03326767
—
NY
Enumeration date
02/24/2011
Last updated
08/21/2018
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