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Individual

MRS. MINDA JOY DWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
66 HACKETT BLVD, ALBANY, NY 12209-1750
(518) 262-4439
(518) 262-8460
Mailing address
66 HACKETT BLVD, ALBANY, NY 12209-1750
(518) 262-4439
(518) 262-8460

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
302093
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02053978
NY
Enumeration date
10/21/2005
Last updated
04/25/2008
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