Individual
DANIELLA SOUVENIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 W 36TH ST FL 7, NEW YORK, NY 10018-9763
(212) 719-9600
Mailing address
16 W 36TH ST FL 7, NEW YORK, NY 10018-9763
(212) 719-9600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307791
NY
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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