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Danielle Nicole Distasi Santos
Specialist in Commack, New York
NPI 1922735430

Danielle Nicole Distasi Santos is a Specialist based in Commack, NY. Danielle Nicole Distasi Santos practices in Commack, NY. The NPI Number for Danielle Nicole Distasi Santos is 1922735430 and holds a License No. 2197709 (New York).

The current practice location address for Danielle Nicole Distasi Santos is 14 Farmstead Rd, Commack, NY and can be reached out via phone at 631-456-7977.

Location: 14 Farmstead Rd, Commack, NY, 11725-1506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922735430
Provider Name
Danielle Nicole Distasi Santos
Credential
Provider Entity Type
Individual
Gender
Female
Address
14 Farmstead Rd, Commack, NY, 11725-1506
Phone Number
631-456-7977
Fax Number
Provider Enumeration Date
08/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14 Farmstead Rd
City
Commack
State
New York
Zip
11725-1506
Phone Number
631-456-7977
Fax Number
person
Provider Business Mailing Address Details
Address
14 Farmstead Rd
City
Commack
State
New York
Zip
11725-1506
Phone Number
631-456-7977
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2197709 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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