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General NPI Number Information
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NPI Number | 1093604548
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Entity Type | Organization
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Legal Business Name | EMPIRE STATE FAMILY HEALTH NP PLLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 25 PINEWOOD AVE
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2624
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Country | US
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Telephone | 973-219-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 418 BROADWAY STE R
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN FITZGERALD
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Credential |
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Telephone | 973-219-2040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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