Individual
MRS. ELIZABETH O DANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19115 115TH AVE, SAINT ALBANS, NY 11412-2727
(917) 500-0671
Mailing address
19115 115TH AVE, SAINT ALBANS, NY 11412-2727
(917) 500-0671
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
585848
NY
363LA2200X
Adult Health Nurse Practitioner
306005
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401729
NY
Other
Enumeration date
01/28/2008
Last updated
03/10/2017
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