Individual
LORRAINE ASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 CENTRAL AVE, ALBANY, NY 12206-2213
(518) 435-9931
(518) 459-3715
Mailing address
500 CENTRAL AVE, ALBANY, NY 12206-2213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
099650
NY
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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