Individual
ANNA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HEROES WAY, RIVERHEAD, NY 11901-2054
(631) 626-2646
Mailing address
261 37TH ST, LINDENHURST, NY 11757-2606
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
09/07/2023
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