Individual
DENISE DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-7000
Mailing address
115 OCEAN AVE APT D11B, BROOKLYN, NY 11225-4757
(347) 351-8974
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
656395
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
696395
RN LICENSE
NY
Enumeration date
07/03/2019
Last updated
07/03/2019
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