Individual
DANA MAIREAD FREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 BRADHURST AVE, VALHALLA, NY 10595-1697
(914) 592-7555
Mailing address
23 FARMGATE DR, COLTS NECK, NJ 07722-1708
(732) 850-3062
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NJ01381800
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
F383640-01
NY
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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