Richard Daly FNP-C

NPI 1639282783 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1639282783
Gender Male
Enumeration Date 08/15/2006
Last Updated 05/21/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
75 N COUNTRY RD
JOHN T MATHER MEMORIAL HOSPITAL
PORT JEFFERSON NY, 11777-2119, US
Phone (631) 473-1320
Fax
Business Location
36 LOCUST AVE
MILLER PLACE NY, 11764-2014, US
Phone (631) 681-8062
Fax (631) 681-8062
Toxanomy
Taxonomy Code 363L00000X
License State New York
License Number F334091
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According to our database, Richard Daly FNP-C NPI is 1639282783, taxonomy code is 363L00000X and license number is F334091, license state is located at New York. Richard Daly FNP-C physically located at 75 N Country Rd, Port Jefferson NY, 11777-2119. NPI Number Richard Daly FNP-C has the Individual type.

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1639282783 NPI number is provided on an as is basis without warranty of any kind. 1639282783 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Daly FNP-C are for informational purposes only.