Individual
BETH GRESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 424-8742
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 424-8742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 562311
NY
363LF0000X
Family Nurse Practitioner
Primary
33 339191
NY
Other
Enumeration date
09/24/2014
Last updated
02/18/2020
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