Organization
CAROL A IPSEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL A IPSEN MD (PRESIDENT)
(518) 439-5624
Entity
Organization
Contact information
Practice address
1240 NEW SCOTLAND RD, SUITE 204, SLINGERLANDS, NY 12159-9222
(518) 439-5624
(518) 765-4036
Mailing address
1240 NEW SCOTLAND RD, SUITE 204, SLINGERLANDS, NY 12159-9222
(518) 439-5624
(518) 765-4036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
149998
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000945
CDPHP
NY
01
—
362801
MVP
—
01
—
G708
CDPHP
—
Enumeration date
08/23/2005
Last updated
08/22/2020
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