Individual
DR. ANNIE LECAVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3095
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3095
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
62975
NY
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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