Wade, Nancy

Wade, Nancy is an individual health care provider with primary practice located at 8 Southwoods Blvd , Albany NY 12211-2554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Wade, Nancy can be contacted via phone (518) 434-1446.

Contact Information

Primary practice address
8 Southwoods Blvd Albany NY 12211-2554
Fax: (518) 434-2360
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 131464 New York

Profile Details

NPI number 1114928710
LBN Legal business name Wade, Nancy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1114928710 NPPES
New York MEDICAID 00628611

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