Individual
DANIELLYNN ANNE BERNALES URSUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CASTLETON AVE, STATEN ISLAND, NY 10301-3004
(718) 273-1300
Mailing address
330A PULASKI AVE, STATEN ISLAND, NY 10303-2632
(347) 684-9675
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3295371-01
NY
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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