Individual
ALLANA BETHEL DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 2ND ST APT E509, MINEOLA, NY 11501-6002
(718) 866-4569
(718) 223-4437
Mailing address
11421 204TH ST, SAINT ALBANS, NY 11412-2816
(917) 497-3968
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
588502
NY
Other
Enumeration date
04/20/2023
Last updated
04/26/2023
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