Individual
DANIELLE ADDONIZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 CLEMENT AVE, ELMONT, NY 11003-2703
(516) 204-5409
Mailing address
139 CLEMENT AVE, ELMONT, NY 11003-2703
(516) 204-5409
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308811
NY
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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