Individual
DANIELLE AMISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
500 COMMACK RD UNIT 150D, COMMACK, NY 11725-5009
(318) 644-4996
Mailing address
500 COMMACK RD UNIT 150D, COMMACK, NY 11725-5009
(631) 864-4499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
305103
NY
Other
Enumeration date
06/08/2017
Last updated
02/16/2022
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