Registry details
Type
Organization
Primary specialty
Nurse Practitioner
Enumerated
Jul 4, 2006
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 618 CENTRAL AVE MC 106 | Albany, NY 12206-1916 | 518-262-9702 |
| LOCATION | 47 NEW SCOTLAND AVE MC 57 | Albany, NY 12208-3412 | 518-262-5376 |
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