Individual
CARRIE ANN ST AMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
28 RYKOWSKI LN, MIDDLETOWN, NY 10941-4018
(845) 692-3376
(845) 692-0124
Mailing address
28 RYKOWSKI LN, MIDDLETOWN, NY 10941-4018
(845) 692-3376
(845) 692-0124
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
007058
NY
363AM0700X
Medical Physician Assistant
Primary
007058
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02472939
—
NY
Enumeration date
11/14/2005
Last updated
12/08/2020
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