Individual
DANIELLE VINCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 AUSTIN BLVD, COMMACK, NY 11725-5733
(631) 864-2784
Mailing address
84 DOVECOTE LN, COMMACK, NY 11725-2744
(631) 255-3124
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
TO2974
ME
225X00000X
Occupational Therapist
Primary
023097
NY
Other
Enumeration date
12/18/2014
Last updated
05/09/2019
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