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Individual

MRS. BRANDY GAGLIARDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
125 MIDDLETOWN RD, WATERFORD, NY 12188-1516
(518) 237-0800
(518) 237-7083
Mailing address
125 MIDDLETOWN RD, WATERFORD, NY 12188-1516
(518) 237-0800
(518) 237-7083

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
612600
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01381593
NY
Enumeration date
01/07/2015
Last updated
01/07/2015
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