Individual
DAIVEA HEMINGWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
75 NEW SCOTLAND AVE, ALBANY, NY 12208-3409
(518) 549-6935
(518) 549-6958
Mailing address
62 CLINTON ST, ALBANY, NY 12202-1531
(518) 461-5794
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
345965
NY
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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