Individual
LAURA INNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6 ALDAR CT, CORTLANDT MANOR, NY 10567-1304
(914) 384-0268
Mailing address
6 ALDAR CT, CORTLANDT MANOR, NY 10567-1304
(914) 384-0268
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
781030
NY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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