KRISTIN L MACK

TICONDEROGA, NY
NPI1447539507
Former NameKRISTIN MICHELLE LAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  272786)
Enumeration Date2011-08-08
Last Update Date2022-04-04
Business Address
KRISTIN L MACK DO
101 ADIRONDACK DR STE 2
TICONDEROGA, NY 12883-9334
Phone number: 518-585-6708
Mailing Address
KRISTIN L MACK DO
9 CAREY RD
QUEENSBURY, NY 12804-7880
Phone number: 518-761-0300
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