Individual
DEBRA L PREHODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
9 GRAND AVE, MECHANICVILLE, NY 12118-2142
(518) 664-7719
Mailing address
39 MEADOW RUE PL, BALLSTON SPA, NY 12020-4367
(518) 899-6796
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
3556841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01860282
—
NY
Enumeration date
03/03/2007
Last updated
07/09/2007
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