Individual
MISS CORAL DAFINONE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
70 S STONE AVE, ELMSFORD, NY 10523-3607
(646) 334-7005
Mailing address
70 S STONE AVE, ELMSFORD, NY 10523-3607
(646) 334-7005
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
288252
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02872993
—
NY
Enumeration date
11/01/2007
Last updated
11/01/2007
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