Individual
CANDACE DEVIEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
(718) 264-4500
Mailing address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
737628
NY
363L00000X
Nurse Practitioner
Primary
403798
NY
Other
Enumeration date
11/25/2019
Last updated
06/20/2023
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