Dicerbo, Nancy

Dicerbo, Nancy is an individual health care provider with primary practice located at 1365 Washington Ave Ste 300, Albany NY 12206-1098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dicerbo, Nancy can be contacted via phone (518) 489-4704.

Contact Information

Primary practice address
1365 Washington Ave Ste 300 Albany NY 12206-1098
Phone: (518) 489-4704
Fax: (518) 489-0512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F331402 New York

Profile Details

NPI number 1376540641
LBN Legal business name Dicerbo, Nancy
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 8th, 2007 - about 18 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 1376540641 NPPES
New York MEDICAID 01331402

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