Individual
MINDI DERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 PENNSYLVANIA AVE, LONG BEACH, NY 11561-1621
(929) 888-4791
Mailing address
53 PENNSYLVANIA AVE, LONG BEACH, NY 11561-1621
(929) 888-4791
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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