Individual
DR. JANICE A BEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1702
(315) 798-1707
Mailing address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1702
(315) 798-1707
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
200656
NY
2085R0202X
Diagnostic Radiology Physician
Primary
200656
NY
2085R0203X
Therapeutic Radiology Physician
200656
NY
2085U0001X
Diagnostic Ultrasound Physician
200656
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01759879
—
NY
01
—
P00383728
MEDICARE RAILROAD
—
Enumeration date
10/04/2005
Last updated
09/17/2014
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