Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 8901478 | NY |
NPI | 1740731272 |
---|---|
Provider Name | Katherine Albright |
First Address | Albany, NY 12208-3474 |
Second Address | Albany, NY 12208-3474 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2016 |
Last Update Date | 19/10/2016 |