Individual
CARLENE J CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 WASHINGTON AVENUE EXT, ALBANY, NY 12205-5609
(518) 464-1803
(518) 464-0076
Mailing address
141 WASHINGTON AVENUE EXT, ALBANY, NY 12205-5609
(518) 464-1803
(518) 464-0076
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009588
NY
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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