Individual
DANIEL DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 S BROADWAY, WHITE PLAINS, NY 10601-4413
(203) 409-3626
Mailing address
152 NEWPORT BRIDGE RD, WARWICK, NY 10990-2319
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
671559
NY
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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