MOLLY B BEDERIAN


Address: 63 Shaker Rd Ste 201, Albany, NY 12204-1030
Phone: 5184713636

MOLLY B BEDERIAN (NPI# 1073753216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073753216
Entity Type Individual
Full Name MOLLY B BEDERIAN
Credential RN, CDE
Practice Address 63 Shaker Rd Ste 201
Albany
NY 12204-1030
Mailing Address Po Box 14890
Albany
NY 12212-4890
Practice Telephone 5184713636
Mailing Telephone 5185255634
Mailing Fax Number 5186494094
Enumeration Date 2009-02-28
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered 005459 NY Dietary & Nutritional Service Providers
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
273819 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 04073814 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
147 Hoosick St, Troy, NY 121802393 5182685584 5182685596
2 New Hampshire Ave Ste 200, Troy, NY 121801762 5182720331

Office Location

Street Address 63 SHAKER RD STE 201
City ALBANY
State NY
Zip Code 12204-1030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093712366 Theresa Marie Beshara Nurse Practitioner 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2005-07-01
1306464664 Cori Lynne Rowe Registered Nurse 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2020-07-13
1184267627 Katie Cameron Specialist 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2019-10-28
1225425259 Mohsinah Usmani Internal Medicine 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2015-04-16
1598159782 Abigail Collis Dietitian, Registered 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2015-03-25
1083054332 Jamila Benmoussa Internal Medicine 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2013-07-01
1972943751 Elizabeth Oommen Internal Medicine 63 Shaker Rd Ste 201, Albany, NY 12204 2013-06-26
1215283254 Kara Filardi Mcgovern Nutritionist 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2012-07-27
1992035414 Catherine L. Carey Nutritionist 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2010-01-06
1245351972 Marcy Pickert Dietitian, Registered 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2007-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568015352 Chanel Bovian Licensed Practical Nurse 587 Broadway Apt.a2, Menands, NY 12204 2019-07-20
1659853513 David Jonathan Brown Driver 456 North Pearl St., Albany, NY 12204 2018-09-06
1255686481 Adam Michael Burman Pharmacist 350 Northern Boulevard, Albany, NY 12204 2012-07-13
1043579196 Victoria Epstein Ophthalmology 63 Shaker Rd Ste 101, Albany, NY 12204 2012-05-10
1306117270 Jacqueline J Swenson Physical Therapist Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 2012-01-24
1730466681 Kathleen C Dalcol Registered Nurse 570 North Pearl Street, North Albany Academy, Albany, NY 12204 2011-11-07
1649592049 Shirley L Savage Licensed Practical Nurse 150 Broadway Ave., Suite 310, Menands, NY 12204 2010-02-26
1801084645 The Embryology Network Clinical Medical Laboratory 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 2007-10-05
1124248430 Prime Care Physicians, P.l.l.c. Internal Medicine 63 Albany Shaker Road, Suite 102, Albany, NY 12204 2007-04-27
1578788204 Antoinette June Holman Licensed Practical Nurse Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 2007-04-16
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891293452 Adam Edward Kessler Registered Nurse 25 Hackett Blvd Fl 3, Albany, NY 12208-3462 2018-01-30
1306464664 Cori Lynne Rowe Registered Nurse 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2020-07-13
1801417498 Kristin Charbel Registered Nurse 22 New Scotland Ave, Mail Code 88, Albany, NY 12208 2020-05-05
1558614412 Connie Hanham-cain Registered Nurse 501 New Karner Rd, Suite 1a, Albany, NY 12205-3882 2012-10-17
1720345952 Marie Occhiogrosso Registered Nurse 920 Lark Dr, Albany, NY 12207-1300 2012-04-12
1992098677 Lorraine E. Martin Registered Nurse 47 New Scotland Ave, Mc 88, Albany, NY 12208-3412 2011-05-27
1487946745 Nancy Evelyn Henderson Jones Registered Nurse 43 New Scotland Ave, Mc 88 Peds Endo, Albany, NY 12208-3412 2011-05-05
1043459431 Laurie Anne Harris Registered Nurse 600 Northern Blvd, Albany, NY 12204-1004 2009-02-10
1538328661 Kathleen A Zieziulewicz Registered Nurse 501 New Karner Rd, Suite 1a, Albany, NY 12205-3882 2008-06-04
1104015841 Tracy Ann Kuehn Registered Nurse 600 Northern Boulevard, Albany Memorial Hospital, Albany, NY 12204 2007-10-18
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Competitor

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City ALBANY
Zip Code 12204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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