Chroback, Carmen Antonia

Chroback, Carmen Antonia is an individual health care provider with primary practice located at 18 Ampersand Dr , Plattsburgh NY 12901-6500. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Chroback, Carmen Antonia can be contacted via phone (518) 566-0100.

Contact Information

Primary practice address
18 Ampersand Dr Plattsburgh NY 12901-6500
Phone: (518) 566-0100
Fax: (518) 561-1648
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 073291-1 New York

Profile Details

NPI number 1588626048
LBN Legal business name Chroback, Carmen Antonia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Mar 4th, 2019 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588626048 NPPES
New York MEDICAID 00672046

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