Individual
DANIELLE MATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 SHERRY LN, HAUPPAUGE, NY 11788-2720
(631) 944-0507
Mailing address
16 SHERRY LN, HAUPPAUGE, NY 11788-2720
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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