Carrasco, Andrea
Carrasco, Andrea is an individual health care provider with primary practice located at 4104 State Highway 30 , Perth NY 12010-6202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Carrasco, Andrea can be contacted via phone (518) 883-8620.Contact Information
Primary practice address
4104 State Highway 30
Perth NY 12010-6202
Phone: (518) 883-8620
Fax: (518) 773-4960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 225251 | New York |
Profile Details
| NPI number | 1427023621 |
|---|---|
| LBN Legal business name | Carrasco, Andrea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Feb 8th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427023621 | NPPES |
| New York | MEDICAID | 02278751 |
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