Individual
MS. CONNIE DY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-5098
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-5098
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
662994-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F340406-1
NY
Other
Enumeration date
03/11/2015
Last updated
02/08/2017
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