Individual
MS. DANIELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
92 PONDEROSA LN, MELVILLE, NY 11747-2017
(516) 302-3667
(631) 302-6658
Mailing address
74-03 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1150
(718) 264-4637
(718) 264-4886
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
254791
NY
Other
Enumeration date
08/20/2009
Last updated
01/23/2019
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