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Individual

MS. GABRIELLE STEPHANIE BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNFA

Contact information

Practice address
241 NORTH RD., POUGHKEEPSIE, NY 12601-1399
(845) 431-8861
(845) 485-3773
Mailing address
56 MAPLE ST., P.O. BOX 87, RIFTON, NY 12471-0087
(845) 658-8835
(845) 658-7171

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
286530-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02119111
NY
Enumeration date
12/04/2006
Last updated
07/09/2007
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