Individual
MR. DANIEL CARL MARCELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
82 TREMONT RD, LINDENHURST, NY 11757
(516) 852-3592
Mailing address
82 TREMONT RD, LINDENHURST, NY 11757-1737
(516) 852-3592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
048196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048196
NY PHARMACY LIC.
NY
Enumeration date
02/13/2008
Last updated
02/13/2008
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