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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAPHNEY BOURJOLLY, DAPHNEY BOURJOLLY

Active Sole Proprietor

Licensed Practical Nurse · CENTRAL ISLIP, NY

Registration Details

NPI Number
1235433160
Provider Type
Individual
Gender
Female
NPI Issued
Jan 6, 2011 (15.302986771121 yrs)
Last Updated
Jan 6, 2011
License
304080 (NY)
Sole Proprietor
Yes

Practice Information

Address
125 HAWTHORNE AVE
346
CENTRAL ISLIP, NY, 117221367
Browse NY providers · Browse ZIP 11722
Phone
6313276969
Fax
6316236152
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in CENTRAL ISLIP, NY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.