Individual
DAKOTA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4316
Mailing address
560 W 144TH ST APT 62, NEW YORK, NY 10031-5852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119565
NY
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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