Individual
MISS DANIELA MARION PUORTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771
Mailing address
920 LARK DR, ALBANY, NY 12207-1300
(518) 465-4771
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383514
NY
Other
Enumeration date
12/22/2022
Last updated
02/16/2023
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