Individual
MS. BRIANNA DEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
32 DEW FLAG RD, RIDGE, NY 11961
(347) 564-1176
Mailing address
32 DEW FLAG RD, RIDGE, NY 11961-2919
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CK38618U
—
NY
Enumeration date
11/29/2017
Last updated
11/29/2017
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