Individual
DANIELLE D'ALLEVA-BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
270 UNION AVE, HOLBROOK, NY 11741-1823
(631) 588-7973
(631) 471-3039
Mailing address
270 UNION AVE, HOLBROOK, NY 11741-1823
(631) 588-7973
(631) 471-3039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009506
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03296013
—
NY
Enumeration date
11/08/2006
Last updated
03/08/2012
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