Organization
NEW SEASON WELLNESS FAMILY HEALTH NP PLLC
Active
Organization
NEW SEASON WELLNESS FAMILY HEALTH NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERTHA BOUCICAULT FNP-BC (OWNER)
(347) 455-4509
Entity
Organization
Contact information
Practice address
418 BROADWAY STE N, ALBANY, NY 12207-2922
(347) 455-4509
Mailing address
418 BROADWAY STE N, ALBANY, NY 12207-2922
(347) 455-4509
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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