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Individual

MS. LINDA DIANA DALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS APRN AGNP-BC

Contact information

Practice address
1072 TROY SCHENECLADY ROAD, LATHAM, NY 12110-1019
(518) 786-7004
Mailing address
32 WELCH LANE, EAST BERNE, NY 12059-2215
(514) 329-1856

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309928-01
NY

Other

Enumeration date
01/19/2021
Last updated
01/19/2021
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