Individual
DANIELLE MIRIELLE TAGLIAFERRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 TANHOUSE BROOK ROAD, COTTEKILL, NY 12419
(845) 687-7250
Mailing address
3 DYER LN, CORNWALL, NY 12518-1400
(845) 534-3459
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009906
NY
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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