National Provider Identifier

Kristen Tabor, BA

Kristen Tabor, BA is listed in the NPPES registry with a primary specialty of Peer Specialist in Rochester, NY and a listed phone number of (585) 865-1550.

NPI 1427714245Rochester, NYPeer Specialist

Profile Overview

NPI
1427714245
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
November 16, 2021
Last Updated
November 16, 2021

Practice Location

  • 1099 Jay St Bldg P
  • Rochester, NY 14611-1164

Phone: (585) 865-1550

Mailing Address

  • 1795 Hudson Ave Apt 203
  • Rochester, NY 14617-5159

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1427714245
Entity Type
Individual
Last Name
Tabor
First Name
Kristen
Credential
BA
Provider Other Last Name
Kramer
Provider Other First Name
Kristen
Provider Other Middle Name
T
Provider Other Last Name Type Code
1
Mailing Street Address
1795 Hudson Ave Apt 203
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5159
Mailing Country
US
Mailing Phone
(585) 261-7087
Practice Street Address
1099 Jay St Bldg P
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-1164
Practice Country
US
Practice Phone
(585) 865-1550
Enumeration Date
November 16, 2021
Last Updated
November 16, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
November 16, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)