Individual
DANIELLA DEFONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(718) 869-7614
Mailing address
855 E BROADWAY APT 4F, LONG BEACH, NY 11561-4780
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
066101
NY
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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