Individual
DANIELLE LAUREN DESIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INHC, CPT
Contact information
Practice address
1040 6TH AVE FL 17, NEW YORK, NY 10018-3703
(917) 818-4469
Mailing address
111 5TH AVE APT 4R, BROOKLYN, NY 11217-3279
(917) 818-4469
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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