Individual
DR. CARSTEN P STRACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866-1003
(518) 583-8313
Mailing address
454 MAPLE AVE, SARATOGA SPRINGS, NY 12866-5532
(518) 587-1141
(518) 587-1152
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
263438
NY
207Q00000X
Family Medicine Physician
Primary
263438
NY
207Q00000X
Family Medicine Physician
65651-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2100991563
NATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINERS
—
01
—
CFP-263438-4B
WORKERS COMPENSATION BOARD AUTHORIZATION
NY
Enumeration date
07/30/2009
Last updated
04/03/2017
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