Individual
MR. ALAN THEODULE BETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-C
Contact information
Practice address
711 TROY SCHENECTADY RD STE 104, LATHAM, NY 12110-2454
(518) 783-3110
(518) 220-9506
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304580
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02884953
—
NY
Enumeration date
02/05/2007
Last updated
01/14/2019
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