Individual
DARA TERIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 STARR RD, RAVENA, NY 12143-2111
(518) 817-9064
Mailing address
607 STARR RD, RAVENA, NY 12143-2111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
354224
NY
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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