Individual
DANIELLE PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1723 N OCEAN AVE, MEDFORD, NY 11763-2687
(631) 758-5858
Mailing address
1723 N OCEAN AVE, MEDFORD, NY 11763-2687
(631) 758-5858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F344537-01
NY
Other
Enumeration date
07/09/2019
Last updated
01/28/2020
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