MEDICARE: MS. ZIPPORAH DALEY R.N

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	358576-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396981148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ZIPPORAH DALEY R.N

Provider Business Mailing Address
First Line	:	1770 BROADWAY
Second Line	:	APT:1
City	:	BROOKLYN
State	:	NY
Zip	:	11207-1611
Country	:	US
Telephone Number	:	718-919-5596
Fax Number	:	718-919-5596

Provider Business Practice Location Address
First Line	:	1770 BROADWAY
Second Line	:	APT:1
City	:	BROOKLYN
State	:	NY
Zip	:	11207-1611
Country	:	US
Telephone Number	:	718-919-5596
Fax Number	:	718-919-5596

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2008
Last Update Date	:	12/29/2008

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