Individual
QIANA M DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 JIMAL DR, MIDDLETOWN, NY 10940-3650
(347) 234-6094
Mailing address
99 JIMAL DR, MIDDLETOWN, NY 10940-3650
(347) 234-6094
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
37947
NY
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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