Individual
DANIELA-MARIE DEL GAUDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
895 MONTAUK HWY, SHIRLEY, NY 11967-2127
(631) 230-5770
Mailing address
1345 RXR PLZ, UNIONDALE, NY 11556-1301
(516) 453-0435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019361
NY
Other
Enumeration date
12/23/2015
Last updated
11/22/2022
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