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Individual

DR. CAROL A IPSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1240 NEW SCOTLAND RD, #204, SLINGERLANDS, NY 12159-9222
(518) 439-5624
(518) 765-4036
Mailing address
1240 NEW SCOTLAND RD, #204, SLINGERLANDS, NY 12159-9222
(518) 439-5624
(518) 765-4036

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
149998
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10000945
CDPHP
NY
01
362801
MVP
NY
01
7339593002
GHI
NY
Enumeration date
01/01/2006
Last updated
07/08/2007
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