Individual
SUE ANNE CIARMIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
(518) 243-4000
Mailing address
600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
303135
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000415848002
BLUE SHIELD
NY
01
—
050502000046
FIDELIS
NY
01
—
11345040
CAQH
NY
01
—
786420
MVP
NY
Enumeration date
04/25/2006
Last updated
04/14/2014
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