Individual
BERNICE ERTRACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
(845) 242-1867
Mailing address
15 FORTUNE RD W, MIDDLETOWN, NY 10941-1625
(845) 241-1867
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
622077
NY
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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