Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SHADY GROVE FARM AND WELLNESS CENTER
Active
Organization
SHADY GROVE FARM AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN M BOUCHARD-BRAUN PT (PRESIDENT)
(518) 569-3440
Entity
Organization
Contact information
Practice address
844 STATE ROUTE 22B, PERU, NY 12972-5421
(518) 569-3440
Mailing address
844 STATE ROUTE 22B, PERU, NY 12972-5421
(518) 569-3440
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
011853-1
NY
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers