Provider Demographics
NPI:1447932579
Name:HOHENFORST, INGRID ALICIA (NP-C)
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:ALICIA
Last Name:HOHENFORST
Suffix:
Gender:
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 RAILROAD PL STE 102
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-3048
Mailing Address - Country:US
Mailing Address - Phone:518-786-7004
Mailing Address - Fax:
Practice Address - Street 1:60 RAILROAD PL STE 102
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-3048
Practice Address - Country:US
Practice Address - Phone:518-786-7004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF352462-01363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health