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Individual

WENDY DEFRUSCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12 PETRA LN, ALBANY, NY 12205
(518) 452-0445
(518) 452-3489
Mailing address
103 FARMINGTON AVE, WATERFORD, NY 12188
(518) 233-0338

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
487063
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
487063
RN LICENSE
NY
Enumeration date
05/03/2007
Last updated
07/08/2007
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