Individual
CARLY ANN REICHEL-CONDOLORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 MICHELLE WAY, SCHENECTADY, NY 12304-2482
(518) 892-6707
Mailing address
623 MICHELLE WAY, SCHENECTADY, NY 12304-2482
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
348930-01
NY
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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