Individual
MRS. CARRIE ANN FABRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
597 3RD AVE, TROY, NY 12182-2509
(518) 233-0544
Mailing address
39 AMELIA DR, NISKAYUNA, NY 12309-3231
(518) 869-7149
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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