Bederian, Molly B

Bederian, Molly B is an individual health care provider with primary practice located at 63 Shaker Rd Ste 201 , Albany NY 12204-1030. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Diabetes Educator. Nursing Service Providers / Diabetes Educator is her primary health care specialty. Bederian, Molly B can be contacted via phone (518) 471-3636.

Contact Information

Primary practice address
63 Shaker Rd Ste 201 Albany NY 12204-1030
Phone: (518) 471-3636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 005459 New York
Nursing Service Providers / Diabetes Educator 163WD0400X 273819 New York

Profile Details

NPI number 1073753216
LBN Legal business name Bederian, Molly B
Credentials RN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2009
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073753216 NPPES
New York MEDICAID 04073814

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