Individual
DAYNA BASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 PORTLAND AVE LBBY LEVEL, ROCHESTER, NY 14621-3011
(585) 922-4111
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
753371
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
433141
NY
Other
Enumeration date
09/13/2024
Last updated
11/11/2024
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