Individual
Q DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 N MAIN AVE, ALBANY, NY 12203-1410
(518) 453-6710
Mailing address
10 WINDING BROOK DR APT 1H, GUILDERLAND, NY 12084-9746
(518) 258-1809
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
702412
NY
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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