Healthcare Provider Details

I. General information

NPI: 1831016971
Provider Name (Legal Business Name): CAROL ANN KRAWIECKI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 NEW SCOTLAND AVE
ALBANY NY
12208-3478
US

IV. Provider business mailing address

28 MALLARDS LNDG S
WATERFORD NY
12188-1188
US

V. Phone/Fax

Practice location:
  • Phone: 518-461-5224
  • Fax:
Mailing address:
  • Phone: 518-461-5224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number357381
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: