Individual provider · NPI-1

Molly B Bederian, RN, CDE

Registered Nurse, Diabetes Educator · Albany, NY

NPI number1073753216
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1073753216
Entity type
Individual (NPI-1)
Name
Molly B Bederian
Credential
RN, CDE
Sex
Female
Sole proprietor
No
Enumeration date
Feb 28, 2009
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes Educator273819NYYes
133V00000X Dietitian, Registered005459NY

Practice location

63 Shaker Rd Ste 201
Albany, NY 12204-1030

Phone 518-471-3636

Mailing address

Po Box 14890
Albany, NY 12212-4890

Phone 518-525-5634 · Fax 518-649-4094

Other practice locations

147 Hoosick St
Troy, NY 12180-2393

Phone 518-268-5584 · Fax 518-268-5596

2 New Hampshire Ave Ste 200
Troy, NY 12180-1762

Phone 518-272-0331

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