Individual
ANNIE LEELA DURAIRAJ DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3094 PERRY AVE, OCEANSIDE, NY 11572-4235
(516) 343-0564
Mailing address
3094 PERRY AVE, OCEANSIDE, NY 11572-4235
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306279-1
NY
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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