Individual
DR. DANIELLE N DEGIORGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4079
(631) 689-6698
(631) 751-5548
Mailing address
6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4079
(631) 689-6698
(631) 751-5548
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
263356
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
263356
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
263356
NY
Other
Enumeration date
06/28/2010
Last updated
05/24/2019
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