Individual
BETHANY R DENARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
491 HIGH ST, LOCKPORT, NY 14094-4743
(716) 478-4565
Mailing address
491 HIGH ST, LOCKPORT, NY 14094-4743
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
855109-01
NY
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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