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1215509104
CHANDLER COUNTRYMAN
ALBANY, NY
NPI
1215509104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 347395)
Enumeration Date
2021-07-12
Last Update Date
2021-10-25
Business Address
CHANDLER COUNTRYMAN FNP
315 S MANNING BLVD
ALBANY, NY 12208-1707
Phone number: 518-525-1550
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Mailing Address
CHANDLER COUNTRYMAN FNP
PO BOX 14890
ALBANY, NY 12212-4890
Phone number: 518-525-5634
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ADVANCED PSYCHIATRY & ADDICTION TREATMENT CENTER LLC