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Individual

KAREN WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
99 EAST STATE STREET, MAB SUITE 101, GLOVERSVILLE, NY 12078
(518) 775-4360
(518) 773-5237
Mailing address
99 EAST STATE STREET, PO BOX 1250, GLOVERSVILLE, NY 12078
(518) 775-4360
(518) 773-5237

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420519
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02329073
NY
01
351744
MVP HEALTHCARE
NY
01
PRC200221387
CDPHP
NY
Enumeration date
08/27/2006
Last updated
01/21/2015
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