Individual
MISS DARLINE INGRID SOLAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8450
Mailing address
28 JOYCE AVE, MASSAPEQUA, NY 11758-3729
(215) 900-1685
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402397-1
NY
Other
Enumeration date
06/12/2019
Last updated
07/26/2019
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