Individual
CAROLYN A ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TSHH
Contact information
Practice address
16 HOLCOMB AVE, TICONDEROGA, NY 12883-1426
(518) 585-6867
Mailing address
16 HOLCOMB AVE, TICONDEROGA, NY 12883-1426
(518) 585-6867
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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