Provider Demographics
NPI:1316145535
Name:ALBRIGHT, KAREN CRETSINGER (DO, PHD, MPH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:CRETSINGER
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:DO, PHD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 ELIZABETH BLACKWELL ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2326
Mailing Address - Country:US
Mailing Address - Phone:315-464-5302
Mailing Address - Fax:
Practice Address - Street 1:90 PRESIDENTIAL PLZ FL 4
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-2240
Practice Address - Country:US
Practice Address - Phone:315-464-4243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.11782084N0400X
390200000X
NY2911042084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL124699Medicaid
AL51111194OtherBCBS
MS05239032Medicaid
AL124696Medicaid
AL51111195OtherBCBS
ALP00912095OtherRAILROAD MEDICARE
NY04876404Medicaid
AL124700Medicaid
AL51111196OtherBCBS