Provider Demographics
NPI:1952585945
Name:YANNETTI, KRISTIN N (MD)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:N
Last Name:YANNETTI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 14890
Mailing Address - Street 2:SPHP PAYER CREDENTIALING
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12212-4890
Mailing Address - Country:US
Mailing Address - Phone:518-286-1922
Mailing Address - Fax:518-427-3314
Practice Address - Street 1:279 TROY RD
Practice Address - Street 2:FAMILY MEDICAL GROUP
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144-9499
Practice Address - Country:US
Practice Address - Phone:518-286-1922
Practice Address - Fax:518-283-3225
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2021-06-01
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Provider Licenses
StateLicense IDTaxonomies
NY258204-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine