Individual
MR. GORDON STEPHEN HADSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 NEW SCOTLAND AVE, ALBANY, NY 12208
(518) 549-6000
Mailing address
14 WHITE BIRCH EST, FORT EDWARD, NY 12828-9220
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
577476-01
NY
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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