Provider Demographics
NPI:1902643018
Name:FOLEY, KRISTINE DOROTHY
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:DOROTHY
Last Name:FOLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:
Other - Last Name:OSTROFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:35 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-2522
Mailing Address - Country:US
Mailing Address - Phone:917-435-1406
Mailing Address - Fax:
Practice Address - Street 1:500 MORRIS AVE STE 202
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1020
Practice Address - Country:US
Practice Address - Phone:973-323-9225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL070206001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical