Facts
- Status
- A
- Credential
- RN
- Type
- Individual
- Enumeration date
- 2022-08-18
- Last updated
- 2022-08-18
Specialties
Licenses
- License NY
- 495115
Location
- Practice location
- 143 GOLDING DR
- City
- COBLESKILL NY
- Postal code
- 120431555
- Phone
- 518-234-2585
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.