Individual
DANNA ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
785 LENORE LN, ELMONT, NY 11003
(347) 233-5827
Mailing address
785 LENORE LN, ELMONT, NY 11003-4528
(347) 233-5827
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315965
NY
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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