Individual
MS. BARBARA A WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
976 BALLTOWN RD, SCHENECTADY, NY 12309-6428
(518) 393-0391
(518) 372-3281
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010276
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000415808001
BSNENY
NY
05
—
02604740
—
NY
01
—
070418000044
FIDELIS
NY
01
—
374936
MVP HEALTHCARE
NY
Enumeration date
08/28/2006
Last updated
01/26/2018
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