Individual
DANIELLE MARIE VANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 GEORGE PL, OCEANSIDE, NY 11572-5216
(516) 325-3505
Mailing address
146 GEORGE PL, OCEANSIDE, NY 11572-5216
(516) 325-3505
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330139
—
NY
Enumeration date
10/05/2017
Last updated
10/05/2017
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