Individual
MAUREEN T DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2890 NIAGARA FALLS BLVD, NORTH TONAWANDA, NY 14120-1114
(716) 807-7337
(716) 213-4400
Mailing address
2890 NIAGARA FALLS BLVD, NORTH TONAWANDA, NY 14120-1114
(716) 807-7337
(716) 213-4400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383033
NY
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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