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Individual

CAROLINE WASIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 FOREST DR, ALBANY, NY 12205-2508
(518) 456-3268
Mailing address
230 WASHINGTON AVENUE EXT, ALBANY, NY 12203-5390

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
02/20/2020
Last updated
02/20/2020
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