Individual
CELESTE DANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029-5204
(212) 241-1671
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
658995
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F308749
NY
Other
Enumeration date
03/12/2019
Last updated
11/03/2025
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