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Danielle Kossack
Student in an Organized Health Care Education/Training Program in Port Jefferson Station, New York
NPI 1811488521

Danielle Kossack is a Student in an Organized Health Care Education/Training Program based in Lake Ronkonkoma, NY. Danielle Kossack practices in Port Jefferson Station, NY. The NPI Number for Danielle Kossack is 1811488521 and holds a License No. (New York).

The current practice location address for Danielle Kossack is 299 Hallock Ave, Port Jefferson Station, NY and can be reached out via phone at 631-473-4284. You can also correspond with Danielle Kossack through the mailing address at 24 VALLEY ST, LAKE RONKONKOMA, NY - 11779-1848 (mailing address contact number: 631-316-0775).

Location: 299 Hallock Ave, Port Jefferson Station, NY, 11779-1848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811488521
Provider Name
Danielle Kossack
Credential
Provider Entity Type
Individual
Gender
Female
Address
299 Hallock Ave, Port Jefferson Station, NY, 11779-1848
Phone Number
631-473-4284
Fax Number
Provider Enumeration Date
05/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
299 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776-1217
Phone Number
631-473-4284
Fax Number
person
Provider Business Mailing Address Details
Address
299 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776-1217
Phone Number
631-473-4284
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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