Individual
CARINA CHARLOTTE MADZELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 WEST BRIDGE ST, CATSKILL, NY 12414
(518) 943-2080
Mailing address
44 GUNPOWDER DR, UNIT 2093, ATHENS, NY 12015-4205
(518) 444-4610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051151-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00533528
—
NY
Enumeration date
01/10/2008
Last updated
01/10/2008
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