Individual
DANIELLE PELLEGRINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2 HYANIS CT, MOUNT SINAI, NY 11766-1808
(631) 831-9794
Mailing address
PO BOX 285, MOUNT SINAI, NY 11766-0285
(631) 831-9794
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017012
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396171997
—
NY
05
—
1801172325
—
NY
Enumeration date
10/28/2011
Last updated
08/09/2019
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