Individual
KRYSTAL BOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 COOPER HILL RD, WYNANTSKILL, NY 12198-2906
(518) 522-5247
Mailing address
614 COOPER HILL RD, WYNANTSKILL, NY 12198-2906
(518) 283-6500
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
674032
NY
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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