NPI 1144959578

Justine Carusone

Practitioner Prevention Professional Fort Plain, NY

Practice location

Address: 14 Division St, Fort Plain, NY 13339-1313
Phone: (518) 268-0421

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 1597292221 (NY)

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Registry record

NPI: 1144959578
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2022
Record last updated: 9 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.