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Individual

MS. ASHA BAMMI EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPED

Contact information

Practice address
1758 UNION ST, SCHENECTADY, NY 12309-6314
(518) 952-4849
(518) 952-4988
Mailing address
1758 UNION ST, SCHENECTADY, NY 12309-6314
(518) 952-4849
(518) 952-4988

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
02/01/2010
Last updated
02/01/2010
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