Individual
CARRIE I EDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
430 FRANKLIN ST FL 2, SCHENECTADY, NY 12305-2018
(518) 788-7983
(866) 256-3093
Mailing address
430 FRANKLIN ST FL 2, SCHENECTADY, NY 12305-2018
(518) 788-7983
(866) 256-3093
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04530181
—
NY
Enumeration date
06/13/2016
Last updated
08/11/2023
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