Individual
MR. DANIEL THOMAS DESIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1300 FRANKLIN AVE, GARDEN CITY, NY 11530
(516) 663-9099
Mailing address
110 S 2ND ST, BETHPAGE, NY 11714-2632
(516) 305-1194
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001948
NY
Other
Enumeration date
02/25/2013
Last updated
04/19/2019
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