Individual
ANNE DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
699 FIRELANE 7, KING FERRY, NY 13081
(315) 364-8676
Mailing address
699 FIRELANE 7, KING FERRY, NY 13081
(315) 364-8676
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02045912
—
NY
Enumeration date
11/02/2005
Last updated
03/30/2016
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