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Individual

DANA D'ANTONIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
650 COMMACK RD, COMMACK, NY 11725-5404
(631) 623-4000
Mailing address
650 COMMACK RD, COMMACK, NY 11725-5404

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308766
NY

Other

Enumeration date
07/12/2018
Last updated
11/13/2024
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