Individual
MRS. CHRISTINE ALICE DAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4444
Mailing address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(718) 613-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
342378
NY
Other
Enumeration date
02/27/2014
Last updated
08/14/2018
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