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:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356355879 | NPPES |
| Other | 11690166 | CAQH | |
| Other | 53088 | CAQH | |
| Other | 040426031939 | CAQH | |
| MEDICAID | 00327226 | CAQH | |
| Other | 00400166001 | CAQH |
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