Individual
DADY TERCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1063 MCBRIDE ST, FAR ROCKAWAY, NY 11691-2416
(929) 261-6047
Mailing address
1063 MCBRIDE ST, FAR ROCKAWAY, NY 11691-2416
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
314873
NY
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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