Individual
DANIELLE V LAURENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1444 5TH AVE, BAY SHORE, NY 11706-4147
(631) 647-3367
Mailing address
1444 5TH AVE, BAY SHORE, NY 11706-4147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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