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Individual

MRS. DETTY DARLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
38 WINTHROP PL, STATEN ISLAND, NY 10314
(718) 727-7077
Mailing address
461 N GANNON AVE, STATEN ISLAND, NY 10314-4317
(347) 533-3834

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402271
NY

Other

Enumeration date
09/08/2017
Last updated
09/08/2017
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