Individual
ALICE ECHTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3463 STATE ROUTE 30, FULTONHAM, NY 12071
(518) 827-6771
Mailing address
PO BOX 108, 3463 STATE ROUTE 30, FULTONHAM, NY 12071-0108
(518) 827-6771
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
110937-1
NY
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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