Individual
DANIA L GARCIA VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 JEFFERSON AVE, WYANDANCH, NY 11798-4006
(631) 223-6318
Mailing address
71 JEFFERSON AVE, WYANDANCH, NY 11798-4006
(631) 223-6318
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
336681
—
NY
Enumeration date
10/07/2022
Last updated
10/07/2022
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