Healthcare Provider Details

I. General information

NPI: 1851201297
Provider Name (Legal Business Name): KALIYA KRITZER
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: DAMIEN KRITZER

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 COLVIN AVE STE 102
ALBANY NY
12206-1242
US

IV. Provider business mailing address

10 COLVIN AVE STE 102
ALBANY NY
12206-1242
US

V. Phone/Fax

Practice location:
  • Phone: 518-801-2521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: