Dwyer, Minda Joy

Dwyer, Minda Joy is an individual health care provider with primary practice located at 66 Hackett Blvd , Albany NY 12209-1750. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dwyer, Minda Joy can be contacted via phone (518) 262-4439.

Contact Information

Primary practice address
66 Hackett Blvd Albany NY 12209-1750
Fax: (518) 262-8460
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 302093 New York

Profile Details

NPI number 1760472773
LBN Legal business name Dwyer, Minda Joy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Apr 25th, 2008 - 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 1760472773 NPPES
New York MEDICAID 02053978

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