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Individual

CARLTON A WOODLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 395-9431
Mailing address
1044 STATE ST, SCHENECTADY, NY 12307-1508
(518) 370-1441
(518) 395-9431

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013860
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02995513
NY
Enumeration date
08/04/2009
Last updated
10/15/2014
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