Individual
DANIELLE MARIE PAVON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 E 71ST ST, BROOKLYN, NY 11234-6242
(347) 207-4152
Mailing address
2031 E 71ST ST, BROOKLYN, NY 11234-6242
(347) 207-4152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345128
NY
Other
Enumeration date
10/17/2019
Last updated
04/16/2021
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