Individual
BAE GOLDA DIAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
19 WINEGAR LN, STATEN ISLAND, NY 10310-1449
(347) 612-1255
Mailing address
19 WINEGAR LN, STATEN ISLAND, NY 10310-1449
(347) 612-1255
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
788834
NY
Other
Enumeration date
03/18/2021
Last updated
03/22/2021
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