Individual
DANIELLE HUMPHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7 SEAFIELD LN, WESTHAMPTON BEACH, NY 11978-2714
(631) 288-1122
(631) 288-1638
Mailing address
7 SEAFIELD LN, WESTHAMPTON BEACH, NY 11978-2714
(631) 288-1122
(631) 288-1638
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314343
NY
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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