Individual
CARLE MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
401 BOLT RD, GLENVILLE, NY 12302-6903
(518) 495-5577
Mailing address
401 BOLT RD, GLENVILLE, NY 12302-6903
(518) 495-5577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004060
NY
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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