Individual
DR. DANIEL MARC GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
77 ROUTE 112 STE F, PATCHOGUE, NY 11772-1230
(631) 207-2370
Mailing address
90 MADDOX AVE, ISLIP, NY 11751-2906
(631) 335-8309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04749301
NY
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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