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Individual

ANN VARCASIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771
Mailing address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
018026
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018026
LICENSE
NY
Enumeration date
12/13/2006
Last updated
07/08/2007
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