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Individual

ELIZABETH PREDMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 WASHINGTON AVENUE EXT, ALBANY, NY 12203-5335
(518) 456-2000
Mailing address
11 RUSO DR, MENANDS, NY 12204-1313

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024189743
VA
363LF0000X
Family Nurse Practitioner
351058
NY

Other

Enumeration date
01/11/2023
Last updated
06/18/2024
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