| New Season Wellness Family Health Np Pllc | |
|
418 Broadway Ste N Albany NY 12207-2922 | |
| (347) 455-4509 | |
| Not Available |
| Full Name | New Season Wellness Family Health Np Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 418 Broadway Ste N, Albany, New York |
| Authorized Official Name and Position | Gertha Boucicault (OWNER) |
| Authorized Official Contact | 3474554509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Season Wellness Family Health Np Pllc 418 Broadway Ste N Albany NY 12207-2922 Ph: (347) 455-4509 | New Season Wellness Family Health Np Pllc 418 Broadway Ste N Albany NY 12207-2922 Ph: (347) 455-4509 |
| NPI Number | 1770309734 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Medicare PECOS PAC ID | 6901332956 |
|---|---|
| Medicare Enrollment ID | O20241213001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770309734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gertha Boucicault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619285814 PECOS PAC ID: 3870917560 Enrollment ID: I20200728002804 |
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