Individual
DARA ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1213 NICHOLAS BROOKS CT, NEW WINDSOR, NY 12553-8390
(929) 263-7168
Mailing address
1213 NICHOLAS BROOKS CT, NEW WINDSOR, NY 12553-8390
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
350981
NY
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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