Individual
DINETTE PHILDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13545 223RD ST, LAURELTON, NY 11413-2341
(917) 767-2227
Mailing address
13545 223RD ST, LAURELTON, NY 11413-2341
(917) 767-2227
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
602424
NY
163WC0200X
Critical Care Medicine Registered Nurse
602424
NY
163WC2100X
Continence Care Registered Nurse
Primary
602424
NY
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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