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Individual

MRS. ADRIENNE WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
11 LIBERTY ST, AMSTERDAM, NY 12010-4601
(518) 843-3805
(518) 843-6184
Mailing address
11 LIBERTY ST, AMSTERDAM, NY 12010-4601
(518) 843-3805
(518) 843-6184

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023177
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000499689002
BLUE SHIELD
NY
01
0007211390
AETNA PPO
NY
01
10060791
CDPHP
NY
01
2959892
AETNA HMO
NY
01
380209
MVP
NY
01
Q19481
EMPIRE
NY
Enumeration date
04/20/2006
Last updated
11/17/2011
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