Individual
ANDREA CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4104 STATE HIGHWAY 30, PERTH, NY 12010-6202
(518) 883-8620
(518) 773-4960
Mailing address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 883-8620
(518) 883-4960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
225251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02278751
—
NY
Enumeration date
02/21/2006
Last updated
02/08/2024
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