Individual
B BERENICE DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
121 LEGION DR, COBLESKILL, NY 12043-5111
(518) 254-2555
(518) 234-3415
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3909
(607) 547-6325
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02289370
—
NY
01
—
500003443
RR MEDICARE
—
Enumeration date
05/18/2006
Last updated
10/26/2007
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