Individual
MISS DANIELLE MASCELLARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2503 TOWNEHOUSE DR, CORAM, NY 11727-2867
(631) 880-7499
Mailing address
2503 TOWNEHOUSE DR, CORAM, NY 11727-2867
(631) 880-7499
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2608801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02681170
—
NY
Enumeration date
11/05/2007
Last updated
11/05/2007
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