Individual
JOANNE DALENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14 RESEARCH WAY, EAST SETAUKET, NY 11733-3453
(631) 722-2170
Mailing address
141 W NECK RD, SOUTHAMPTON, NY 11968-2230
(631) 644-0375
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
284410
NY
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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