Individual
JENNIFER DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 RATHBUN AVE, STATEN ISLAND, NY 10312-3006
(718) 948-8879
Mailing address
7 IENTILE COURT, MONROE, NJ 08831
(646) 239-0594
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
011148
NY
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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