Individual
BEVERLY GENE ISCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
37 MAIN ST., WHITESBORO, NY 13492
(315) 736-9337
(315) 624-5152
Mailing address
24 ROCKPORT RD., NEW HARTFORD, NY 13413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
337598
NY
363L00000X
Nurse Practitioner
F300407
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F300407
—
NY
Enumeration date
10/02/2006
Last updated
12/11/2012
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