Individual
MRS. MARY DACCHILLE-SULESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
622 W 168TH ST, PH-12TH FLOOR RM 1273A, NEW YORK, NY 10032-3720
(212) 342-3926
(212) 305-2591
Mailing address
18 JONATHAN CT, WARWICK, NY 10990-2446
(845) 986-8983
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304337
NY
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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