Individual
DANIELLE SIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
124 E MAIN ST STE 103, BABYLON, NY 11702-3532
(631) 482-1160
Mailing address
35 CORNFLOWER LN, EAST NORTHPORT, NY 11731-4717
(516) 945-7594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
065261
NY
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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