Individual
DANIEL IANNELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
102 PARK AVE, YONKERS, NY 10703-2934
(914) 965-4300
Mailing address
10901 86TH ST, OZONE PARK, NY 11417-1401
(718) 704-4579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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