Individual
MRS. BARBARA LYNN VANDYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
210 BALLSTON AVE, BALLSTON SPA, NY 12020-3606
(518) 884-7200
Mailing address
320 MIDDLE GROVE RD, MIDDLE GROVE, NY 12850-1105
(518) 569-5672
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
388311
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4862
—
NY
Enumeration date
11/14/2017
Last updated
11/14/2017
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