Individual
MRS. DALIAH JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1652 E 93RD ST, BROOKLYN, NY 11236-5222
(347) 374-2845
Mailing address
1652 E 93RD ST, BROOKLYN, NY 11236-5222
(347) 374-2845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012512
NY
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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