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Individual

LOUISE M DANZIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
19 BRADHURST AVE, SUITE 1400, HAWTHORNE, NY 10532-2140
(914) 594-4370
(914) 594-4513
Mailing address
19 BRADHURST AVE, SUITE 1400, HAWTHORNE, NY 10532-2140
(914) 594-4370
(914) 594-4513

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380008-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03055272
NY
Enumeration date
11/13/2008
Last updated
07/22/2009
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