Individual
DANIELA BELOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
37 MAIN ST, WHITESBORO, NY 13492
(315) 624-8800
Mailing address
2209 GENESEE ST, UTICA, NY 13502
(315) 801-8534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F352340
NY
Other
Enumeration date
05/08/2023
Last updated
07/12/2023
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