Individual
CLAUDELLE MASSENA DEROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-3125
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F354209-01
NY
Other
Enumeration date
06/27/2024
Last updated
07/11/2024
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