Individual
BHARUNA D DEODAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 TROY SCHENECTADY RD, LATHAM, NY 12110-1014
(518) 836-2200
Mailing address
2613 CAMPBELL AVE, SCHENECTADY, NY 12306-2401
(518) 275-3602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
772299
NY
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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