Individual
ANTONIETTA ANNA DALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
67 PARK AVE UNIT ONE, WHITE PLAINS, NY 10603
(845) 392-3267
Mailing address
67 PARK AVE UNIT ONE, WHITE PLAINS, NY 10603
(845) 392-3267
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406152
NY
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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