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Individual

DANIELLE MARIE DECARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2 CHAUNCEY LN, CORAM, NY 11727-3502
(631) 346-8794
Mailing address
2 CHAUNCEY LN, CORAM, NY 11727-3502
(631) 346-8794

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336913-01
NY

Other

Enumeration date
04/19/2022
Last updated
06/18/2025
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