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Individual
LAURA M SPRINGATE
Active
Individual
LAURA M SPRINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001687
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00021055902
UNIVERA
NY
01
—
000570170002
BLUE CROSS/BLUE SHIELD
NY
01
—
160757756001
TRICARE
NY
01
—
9512335
INDEPENDENT HEALTH
NY
01
—
P00159788
MEDICARE RAILROAD
NY
Enumeration date
07/12/2006
Last updated
08/20/2007
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