Individual
TANYA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A-GP-C
Contact information
Practice address
242 HACKETT BLVD, ALBANY, NY 12209-1139
(518) 227-4928
Mailing address
242 HACKETT BLVD, ALBANY, NY 12209-1139
(518) 227-4928
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
310660
NY
Other
Enumeration date
02/16/2022
Last updated
03/17/2022
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