Individual
RALPH JOSEPH CAROTENUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
157 SOUTH LAKE AVE, ALBANY, NY 12208
(518) 489-8500
Mailing address
157 SOUTH LAKE AVE, ALBANY, NY 12208
(518) 489-8500
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
113009
NY
2084P0805X
Geriatric Psychiatry Physician
Primary
113009
NY
208D00000X
General Practice Physician
113009
NY
Other
Enumeration date
02/13/2007
Last updated
10/06/2010
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