Individual
BETSEY DECHERT-BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3675 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 972-0279
(716) 972-0273
Mailing address
3675 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 972-0279
(716) 972-0273
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
389449
NY
363LF0000X
Family Nurse Practitioner
Primary
F330430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00021052102
UNIVERA
NY
01
—
000560340005
BCBS WNY
NY
01
—
000560340006
BCBS
NY
01
—
000560340007
BC/BS DIAB. ED. SERV.
NY
05
—
02345682
—
NY
01
—
177087BJ
PREFERRED CARE
NY
01
—
9513178
INDEPENDENT HEALTH
NY
01
—
P00356733
MEDICARE RAILROAD
NY
Enumeration date
07/21/2006
Last updated
07/21/2014
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