Individual
DANIELLE GOURNELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 554-2990
Mailing address
41 BROADWAY, WEST HEMPSTEAD, NY 11552-1407
(516) 554-2990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345555
NY
Other
Enumeration date
12/03/2020
Last updated
06/20/2025
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