Individual
DAILANDE ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2505 TILDEN AVE, STE 101, BROOKLYN, NY 11226-5015
(718) 941-4490
Mailing address
2501 NOSTRAND AVE, 3M, BROOKLYN, NY 11210-4748
(347) 618-0490
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300625
NY
Other
Enumeration date
09/20/2010
Last updated
09/21/2010
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