Individual
DANIELLE PRUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 PECONIC ST, APT 317A, RONKONKOMA, NY 11779-7100
(631) 816-0936
Mailing address
500 PECONIC ST, APT 317A, RONKONKOMA, NY 11779-7100
(631) 816-0936
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
094916
NY
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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