Individual
MS. DIANNE SMITH BICKERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6888 ROUTE 281, PREBLE, NY 13141-0214
(607) 749-4709
Mailing address
PO BOX 214, 6888 ROUTE 281, PREBLE, NY 13141-0214
(607) 749-4709
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302496-1
NY
363LG0600X
Gerontology Nurse Practitioner
F340385-1
NY
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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