Individual
DANIELLE WIDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
83 AVA DR, EAST MEADOW, NY 11554-1157
(516) 524-0367
Mailing address
83 AVA DR, EAST MEADOW, NY 11554-1157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013767
NY
Other
Enumeration date
07/28/2023
Last updated
10/28/2024
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