Individual
CONEILIA S DYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11595 230TH ST, CAMBRIA HEIGHTS, NY 11411-1421
(646) 709-7878
Mailing address
11595 230TH ST, CAMBRIA HEIGHTS, NY 11411-1421
(646) 709-7878
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311609
NY
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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