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Individual

CHARLES SCHRAMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 453-2273
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1708

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009425
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00009425
NY
01
000496559001
BSNENY
01
10044759
CDPHP
01
50034
GHIHMO
01
75805
MVP
01
Q97491
EMPIRE BLUE CROSS
Enumeration date
04/21/2006
Last updated
02/01/2012
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