Provider Demographics
NPI:1801417498
Name:CHARBEL, KRISTIN (BS, RN, CDCES)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:CHARBEL
Suffix:
Gender:F
Credentials:BS, RN, CDCES
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:KOSIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, RN
Mailing Address - Street 1:22 NEW SCOTLAND AVE
Mailing Address - Street 2:MAIL CODE 88
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208
Mailing Address - Country:US
Mailing Address - Phone:518-262-5723
Mailing Address - Fax:518-262-4974
Practice Address - Street 1:22 NEW SCOTLAND AVE
Practice Address - Street 2:MAIL CODE 88
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-262-5723
Practice Address - Fax:518-262-4974
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY563589163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator