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Individual

DIANE E BELANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2554 RT 9, BALLSTON SPA, NY 12020
(518) 899-5002
(518) 899-5840
Mailing address
2554 RT 9, BALLSTON SPA, NY 12020
(518) 899-5002
(518) 899-5840

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
331787
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02682680
NY
Enumeration date
07/17/2006
Last updated
06/02/2013
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