Individual
ROSE ELIZABETH DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 UNION RD, SPRING VALLEY, NY 10977-3448
(845) 304-3406
Mailing address
110 EDISON CT APT C, MONSEY, NY 10952-1942
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
510384
NY
164W00000X
Licensed Practical Nurse
309902
NY
Other
Enumeration date
01/06/2016
Last updated
05/31/2024
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