Organization
DMC CONSULTANT GROUP, WBE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN MICHELE CONLEY-MORELLI RN, BSN (CEO/PRESIDENT)
(315) 766-6729
Entity
Organization
Contact information
Practice address
8855 CENTER POINTE DR, BALDWINSVILLE, NY 13027-1421
(315) 766-6729
(315) 303-5892
Mailing address
8855 CENTER POINTE DR, BALDWINSVILLE, NY 13027-1421
(315) 766-6729
(315) 303-5892
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
NY
163WC0400X
Case Management Registered Nurse
Primary
515009-1
NY
163WC1500X
Community Health Registered Nurse
—
NY
163WC1600X
Continuing Education/Staff Development Registered Nurse
—
NY
163WH0200X
Home Health Registered Nurse
—
NY
163WI0600X
Infection Control Registered Nurse
—
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NY
164W00000X
Licensed Practical Nurse
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03074935
REGISTERED NURSE LICENSE WHO WAS APPROVED WITH A MEDICAID NUMBER
NY
Enumeration date
03/05/2015
Last updated
03/05/2015
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