Individual
MS. DANIELLE MONGELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4359 169TH ST, FLUSHING, NY 11358-3246
(646) 209-0099
Mailing address
43-59 169TH STREET, FLUSHING, NY 11358
(646) 209-0099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017455
NY
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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