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Individual

WENDY BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3043 STATE ROUTE 4, HUDSON FALLS, NY 12839-9632
(518) 747-2284
(518) 747-2253
Mailing address
3043 STATE ROUTE 4, HUDSON FALLS, NY 12839-9632
(518) 747-2284
(518) 747-2253

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
00327226
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00327226
NY
01
00400166001
HEALTHNOW INTEGRATED
01
040426031939
FIDELIS
01
11690166
CAQH
01
53088
MVP
Enumeration date
07/28/2006
Last updated
05/19/2010
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