Individual
DENISE SQUILLANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 ONTARIO ST, PORT JEFFERSON STATION, NY 11776-4348
(631) 291-5844
Mailing address
81 ONTARIO ST, PORT JEFFERSON STATION, NY 11776-4348
(631) 291-5844
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
755219
NY
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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