Healthcare Provider Details

I. General information

NPI: 1417039249
Provider Name (Legal Business Name): ZOE ANN KRITZLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 GOLDEN HILL LN
KINGSTON NY
12401-6441
US

IV. Provider business mailing address

239 GOLDEN HILL LN
KINGSTON NY
12401-6441
US

V. Phone/Fax

Practice location:
  • Phone: 845-340-4000
  • Fax: 845-340-4094
Mailing address:
  • Phone: 845-340-4000
  • Fax: 845-340-4094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number134787
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: