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Individual

MRS. HEATHER A DAILOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 COLLEGE CIRCLE, LAUDERDALE CENTER FOR HEALTH AND COUNSELING, GENESEO, NY 14454
(585) 245-5736
(585) 245-5744
Mailing address
1 COLLEGE CIRCLE, LAUDERDALE CENTER FOR HEALTH AND COUNSELING, GENESEO, NY 14454
(585) 245-5736
(585) 245-5744

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
475043
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F381441
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02259869
NY
Enumeration date
10/21/2006
Last updated
03/24/2016
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