Individual
AUDREY DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 POPLAR ST, WHITE PLAINS, NY 10607-2806
(914) 320-7023
Mailing address
2 POPLAR ST, WHITE PLAINS, NY 10607-2806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1828434
NY
Other
Enumeration date
06/09/2012
Last updated
06/09/2012
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