Individual
DANIELLE RULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 397-0797
Mailing address
337 E PINE ST, LONG BEACH, NY 11561-2334
(516) 860-6591
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1175438
NY
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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