Individual
CODI-ANN DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
180 FORT WASHINGTON AVE, 5TH FLOOR, NEW YORK, NY 10032-3722
(212) 342-3858
(212) 342-6865
Mailing address
710 W 168TH ST, 7TH FLOOR, ROOM 738, NEW YORK, NY 10032-3726
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382478-1
NY
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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