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Individual

MRS. CAROL INGRASSIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CASAC

Contact information

Practice address
365 MAIN ST, HURLEYVILLE, NY 12747-5440
(845) 794-8080
(845) 794-8343
Mailing address
365 MAIN ST, HURLEYVILLE, NY 12747-5440
(845) 794-8080
(845) 794-8343

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
302F00000X
NY

Other

Enumeration date
05/12/2015
Last updated
05/12/2015
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