Individual
MICHELLE DYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
944 STATE ROUTE 17K, MONTGOMERY, NY 12549-2213
(845) 457-2400
(845) 457-8552
Mailing address
944 STATE RT 17 K, MONTGOMERY, NY 12549
(845) 457-2400
(845) 457-8552
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
548906
NY
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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