Individual
DANIA CODADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP
Contact information
Practice address
1818 HAZEN ST, EAST ELMHURST, NY 11370-1383
(212) 442-3853
Mailing address
36 HILTON AVE APT 102, HEMPSTEAD, NY 11550-2116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
69350
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402539
NY
Other
Enumeration date
02/04/2015
Last updated
04/02/2019
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