Individual
MS. LINDA ELENA DALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 E 210TH ST, DEOD, BRONX, NY 10467-2401
(718) 920-6212
(718) 324-4246
Mailing address
679 W 239TH ST, UNIT 4J, BRONX, NY 10463-1258
(718) 601-1305
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340025
NY
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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