Individual
CHELSEA MANTICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1438 WESTERN AVE, ALBANY, NY 12203-3421
(315) 454-6000
Mailing address
1438 WESTERN AVE, ALBANY, NY 12203-3421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F347801-01
NY
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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