Individual
GABRIELLE IACHETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 NEW SCOTLAND AVE # MC7, ALBANY, NY 12208-3412
(518) 262-6696
Mailing address
449 ROUTE 146 STE 101, HALFMOON, NY 12065-3239
(151) 837-3392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
716976
NY
363LF0000X
Family Nurse Practitioner
Primary
350655
NY
Other
Enumeration date
10/05/2022
Last updated
12/08/2022
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