Individual
MS. DANIELLE DOLORES OLIVERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1256
(631) 403-3318
Mailing address
40 GRAND PL, EAST NORTHPORT, NY 11731-3020
(631) 609-7973
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P130040
NY
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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