Individual
CHAQUERA DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
249 S 11TH AVE APT 2R, MOUNT VERNON, NY 10550-3705
(646) 698-3972
Mailing address
249 S 11TH AVE APT 2R, MOUNT VERNON, NY 10550-3705
(646) 698-3972
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317131
NY
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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