Individual
MR. TIMOTHY DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(617) 590-1817
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3185
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
575822
NY
Other
Enumeration date
10/05/2011
Last updated
02/27/2012
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