Individual
JEFF PRADERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
208A JOHN BURKE APTS, QUEENSBURY, NY 12804-1980
(646) 617-8266
Mailing address
208A JOHN BURKE APTS, QUEENSBURY, NY 12804-1980
(646) 617-8266
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
715473
NY
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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