Individual
MARY DIANE RADLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
130 ALBANY AVE, COBLESKILL, NY 12043
(518) 255-5225
(518) 255-5819
Mailing address
130 ALBANY AVE, COBLESKILL, NY 12043
(518) 255-5225
(518) 255-5819
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30-301409
NY
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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