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MS. DAPHNEE INNOCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
147 RHODE ISLAND AVE, BAY SHORE, NY 11706-3346
(631) 522-8979
Mailing address
147 RHODE ISLAND AVENUE, BAY SHORE, NY 11706
(631) 522-8979

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306000
NY

Other

Enumeration date
08/03/2011
Last updated
08/03/2011
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