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1891213997
DETTY DARLY
STATEN ISLAND, NY
NPI
1891213997
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Former Name
DETTY PANICKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 402271)
Enumeration Date
2017-09-08
Last Update Date
2017-09-08
Business Address
Mrs. DETTY DARLY NP
38 WINTHROP PL
STATEN ISLAND, NY 10314
Phone number: 718-727-7077
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Mailing Address
Mrs. DETTY DARLY NP
461 N GANNON AVE
STATEN ISLAND, NY 10314-4317
Phone number: 347-533-3834
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