DETTY DARLY

STATEN ISLAND, NY
NPI1891213997
Former NameDETTY PANICKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  402271)
Enumeration Date2017-09-08
Last Update Date2017-09-08
Business Address
Mrs. DETTY DARLY NP
38 WINTHROP PL
STATEN ISLAND, NY 10314
Phone number: 718-727-7077
Mailing Address
Mrs. DETTY DARLY NP
461 N GANNON AVE
STATEN ISLAND, NY 10314-4317
Phone number: 347-533-3834