Individual
MRS. DANA GAUDIUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
130 E 77TH ST, 4TH FLOOR, NEW YORK, NY 10075-1851
(212) 434-6030
Mailing address
129 PINE STREET, ROCKVILLE CENTRE, NY 11570
(646) 772-6803
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305780
NY
Other
Enumeration date
05/11/2012
Last updated
05/16/2016
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