Individual
MR. DANNY THOMAS RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
18 HUGHES CT, QUEENSBURY, NY 12804-2555
(518) 260-1057
Mailing address
7918 STATE ROUTE 8, BRANT LAKE, NY 12815-2302
(518) 669-5702
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315423
NY
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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