Provider Demographics
NPI:1588494314
Name:DALEY PRAYER NP
Entity type:Organization
Organization Name:DALEY PRAYER NP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDDYFAY
Authorized Official - Middle Name:
Authorized Official - Last Name:DALEY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:914-863-1874
Mailing Address - Street 1:173 HUGUENOT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-7710
Mailing Address - Country:US
Mailing Address - Phone:914-863-1874
Mailing Address - Fax:914-435-7270
Practice Address - Street 1:3208 WHITNEY AVE STE 1
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2158
Practice Address - Country:US
Practice Address - Phone:914-863-1874
Practice Address - Fax:914-435-7270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty