Individual
DR. JAN CARSTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4104 STATE HIGHWAY 30, AMSTERDAM, NY 12010-6202
(518) 883-8620
(518) 883-5653
Mailing address
99 E STATE ST, PO BOX 1250, GLOVERSVILLE, NY 12078-1203
(518) 883-8620
(518) 883-5653
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
151815
NY
207Q00000X
Family Medicine Physician
Primary
151815
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000402960003
BS PROVIDER NUMBER
NY
05
—
00381420
—
NY
01
—
10066330
CDPHP PROVIDER NUMBER
NY
01
—
6334B1
EMPIRE BC
NY
Enumeration date
02/08/2007
Last updated
01/21/2015
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