Individual
DANIELLA SHEMEKA MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 E 146TH ST # 1A, BRONX, NY 10455-4101
(646) 241-6806
Mailing address
431 E 146TH ST # 1A, BRONX, NY 10455-4101
(646) 241-6806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333718-01
NY
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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