Individual
MS. JAMIE GUISELA VIZCARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(315) 464-5136
Mailing address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(973) 930-5121
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
274252
NY
Other
Enumeration date
06/09/2010
Last updated
10/22/2014
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