Individual
CAITLIN C. MCKENNA-MANTICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3125
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
09/23/2019
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