Individual
DANIEL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
562 BOXWOOD DR, SHIRLEY, NY 11967-1025
(631) 871-1507
Mailing address
562 BOXWOOD DR, SHIRLEY, NY 11967-1025
(631) 871-1507
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1211788
NY
164W00000X
Licensed Practical Nurse
Primary
339946-01
NY
Other
Enumeration date
05/24/2021
Last updated
04/01/2026
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