Berry, Wendy

Berry, Wendy is an individual health care provider with primary practice located at 3043 State Route 4 , Hudson Falls NY 12839-9632. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Berry, Wendy can be contacted via phone (518) 747-2284.

Contact Information

Primary practice address
3043 State Route 4 Hudson Falls NY 12839-9632
Phone: (518) 747-2284
Fax: (518) 747-2253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 00327226 New York

Profile Details

NPI number 1356355879
LBN Legal business name Berry, Wendy
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated May 19th, 2010 - about 16 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 1356355879 NPPES
Other 11690166 CAQH
Other 53088 CAQH
Other 040426031939 CAQH
MEDICAID 00327226 CAQH
Other 00400166001 CAQH

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