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Individual

MRS. DANIELLE D COLBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
TEACHER

Contact information

Practice address
2827 COVERED BRIDGE RD, MERRICK, NY 11566-4818
(516) 223-6477
(516) 868-7208
Mailing address
2827 COVERED BRIDGE RD, MERRICK, NY 11566-4818
(516) 223-6477
(516) 868-7208

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
12/23/2012
Last updated
12/23/2012
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