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MRS. WILHELMINIA KAYLA DEVON DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 562-6000
Mailing address
18 FLINT AVE, HEMPSTEAD, NY 11550-7108
(516) 476-3570

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
F432316-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
UNKNOWN
NY
Enumeration date
05/17/2022
Last updated
05/17/2022
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