Individual
MRS. DARNETH NADEEN HAYNES-WILLISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13735 218TH ST, LAURELTON, NY 11413-2240
(646) 303-1594
Mailing address
13735 218TH ST, LAURELTON, NY 11413-2240
(646) 303-1594
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
66007319
NY
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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