Individual
DANIEL JOSEPH CIAVARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
93 CREST RD W, MERRICK, NY 11566-1410
(516) 785-6529
Mailing address
93 CREST RD W, MERRICK, NY 11566-1410
(516) 785-6529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015690
NY
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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