Individual
DANIELLE NICOLE DIPUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3148
Mailing address
2204 FIR ST, WANTAGH, NY 11793-4102
(516) 297-5164
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
P107682
NY
101YM0800X
Mental Health Counselor
Primary
012383
NY
Other
Enumeration date
11/16/2020
Last updated
02/06/2024
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