Individual
MOLLY B BEDERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
63 SHAKER RD STE 201, ALBANY, NY 12204-1030
(518) 471-3636
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
005459
NY
163WD0400X
Diabetes Educator Registered Nurse
Primary
273819
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04073814
—
NY
Enumeration date
02/28/2009
Last updated
03/17/2018
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