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Individual

MS. CAROL A SELLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 FAMILY PRACTICE DRIVE, KINGSTON, NY 12401-2832
(845) 338-6400
Mailing address
1 FAMILY PRACTICE DR, N/A, KINGSTON, NY 12401-6449
(845) 338-6400

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304927-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30000001SVJQEA0
NY
Enumeration date
11/03/2008
Last updated
10/31/2014
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