Individual
DANIELLE BOBETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2542 BUSH ST, EAST MEADOW, NY 11554-2110
(516) 474-8916
Mailing address
2542 BUSH ST, EAST MEADOW, NY 11554-2110
(516) 474-8916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028696-01
NY
Other
Enumeration date
12/01/2020
Last updated
04/25/2023
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