Individual
CYRA EMBRACK-DALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 MELODY LN, AMITYVILLE, NY 11701-1618
(718) 251-5578
Mailing address
6 MELODY LN, AMITYVILLE, NY 11701-1618
(718) 251-5578
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
5262011
NY
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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