Individual
DANIELLE MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 469-3076
Mailing address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
031040
NY
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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