Individual
JANE WOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
471 PENNSYLVANIA AVE, APALACHIN, NY 13732-2501
(607) 625-3232
Mailing address
435 GLENWOOD RD, BINGHAMTON, NY 13905-1606
(607) 763-3300
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
524643-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
524643-1
RN
NY
Enumeration date
01/13/2013
Last updated
01/13/2013
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