Individual
MS. DARIELLE ASHLEY CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9420 GUY R BREWER BLVD, JAMAICA, NY 11451-0001
(718) 262-2823
Mailing address
9420 GUY R BREWER BLVD, JAMAICA, NY 11451-0001
(718) 262-2823
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363A00000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446408
AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS
NY
Enumeration date
12/01/2020
Last updated
12/01/2020
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