Alfred E Kristensen MD PLLC
Organization Active NPI Specialist · Queensbury, NY
NPI 1124286620 · NPPES record last updated May 30, 2008
Key facts
- NPI
- 1124286620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 103714 (NY)
- Legal business name
- ALFRED E KRISTENSEN MD PLLC
- Practice address
- 543 Bay Rd
Queensbury, NY 12804-1441 - Phone
- (518) 761-2663
- Fax
- (518) 761-6831
- NPI assigned
- May 30, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Alfred Kristensen, MD
- Title
- Member
- Phone
- (518) 761-2663
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 103714 | NY | Yes |
Addresses
Primary practice location
543 Bay Rd
Queensbury, NY 12804-1441
Mailing address
543 Bay Rd
Queensbury, NY 12804-1441
Phone (518) 761-2663
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00359779 | Medicaid | NY |
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.