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Individual

CAROLYN BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2827 ROUTE 9, GRAND UNION PLAZA, VALATIE, NY 12184
(518) 758-7616
Mailing address
2827 ROUTE 9, P.O. BOX 187, VALATIE, NY 12184
(518) 758-7616

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024764
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02354896
NY
Enumeration date
09/11/2006
Last updated
03/04/2009
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