Individual
MISS DANIELLE MARGARET ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3959 BROADWAY, 8TH FLOOR, NORTH, NEW YORK, NY 10032-1559
(212) 305-4565
Mailing address
631 N TERRACE AVE, APT 5H, MOUNT VERNON, NY 10552-2756
(914) 621-6219
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001586
NY
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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