Individual
DANIELLE PETIT-FRERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
441 MAYFLOWER AVE, BRENTWOOD, NY 11717-8107
(631) 383-3040
Mailing address
441 MAYFLOWER AVE, BRENTWOOD, NY 11717-8107
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320741
NY
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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