Individual
CARLY DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
460 W 34TH ST FL 2, NEW YORK, NY 10001-2354
(212) 420-0510
Mailing address
260 MADISON AVE STE 200, NEW YORK, NY 10016-2430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
618504
NY
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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