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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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