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Individual

BRENDA CYNTHIA SHORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
58 ACADEMY RD, ALBANY, NY 12208
(518) 982-2151
Mailing address
28 BENDER AVE, ALBANY, NY 12208
(518) 419-1243

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
512566-01
NY

Other

Enumeration date
08/15/2022
Last updated
08/15/2022
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