Individual
MR. APPU DARLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2079 FOREST AVE, STATEN ISLAND, NY 10303
(718) 815-6560
Mailing address
777 SEAVIEW AVE, STATEN ISLAND, NY 10305-3409
(718) 667-2485
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
666985
NY
363LF0000X
Family Nurse Practitioner
Primary
F344030-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2997157
—
NY
Enumeration date
05/10/2013
Last updated
06/21/2019
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