Individual
ANDREA DALEY-AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24425 136TH RD, ROSEDALE, NY 11422-1622
(516) 734-1343
Mailing address
24425 136TH RD, ROSEDALE, NY 11422-1622
(516) 734-1343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
50216
NY
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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