Individual
DANIELLE SHANA HALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1135 WALT WHITMAN RD, #27A, MELVILLE, NY 11747-2826
(631) 683-4796
Mailing address
1135 WALT WHITMAN RD, #27A, MELVILLE, NY 11747-2826
(631) 683-4796
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25 005746
NY
363A00000X
Physician Assistant
013884
NY
Other
Enumeration date
09/16/2010
Last updated
05/27/2016
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