Individual
KENIA DELCID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 TIMBERLINE DR, BRENTWOOD, NY 11717-4803
(631) 434-2244
Mailing address
210 PLUNKETT ST, BRENTWOOD, NY 11717-7109
(631) 704-1289
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
816550-01
NY
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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