Individual
MRS. CARRIE DENISE CLINE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0018381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026873201
UNIVERA COMMERCIAL
—
01
—
000576115007
COMMUNITY BLUE
—
05
—
01465154
—
NY
01
—
P00187911
RAILROAD MEDICARE
—
Enumeration date
04/28/2006
Last updated
07/08/2007
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