Individual
MRS. COLLEEN WILZENA DALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 BUCKNELL ROAD, VALLEY STREAM, NY 11580
(917) 972-1525
Mailing address
100 BUCKNELL RD, VALLEY STREAM, NY 11580-5351
(917) 975-1525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
429290
NY
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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