Individual
DANIELLE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 MAPLE AVE, SMITHTOWN, NY 11787-3519
(631) 813-7788
Mailing address
11 FLICKER DR, MIDDLE ISLAND, NY 11953-1345
(631) 813-7788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020709
NY
Other
Enumeration date
03/10/2017
Last updated
11/14/2023
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