Individual
MONAIJSHA DAIZIANA MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 ACADEMY RD, ALBANY, NY 12208-3103
(518) 426-2725
Mailing address
165 N ALLEN ST, ALBANY, NY 12206-1706
(518) 564-1302
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
855611
NY
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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