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Individual

MS. CARRIE B. AMBROSINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
211 CHURCH ST, SARATOGA SPRINGS, NY 12866-1003
(518) 583-8343
(518) 583-8386
Mailing address
PO BOX 1368, ALBANY, NY 12201-1368
(518) 348-1276
(518) 348-1279

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011886
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00473649
NY
01
4937930001
MEDICARE DME
NY
Enumeration date
07/05/2007
Last updated
02/17/2016
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