DANIELLE MASKIELL
Medical Practice at Port Ave, Hauppauge, NY

License number
New York 1350885
Category
Medical Practice
Type
Specialist
Address
Address
268 Port Ave, Hauppauge, NY 11779
Phone
(631) 588-0905
National Provider ID: 1124380415
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DANIELLE MASKIELL, INC

268 Prt Ave, Ronkonkoma, NY 11779

Industry:
Business Services at Non-Commercial Site
Registration:
Apr 8, 2008
State ID:
3655701
Business type:
DOMESTIC BUSINESS CORPORATION
Chairman:
Danielle Maskiell (Chairman), 268 Prt Ave, Ronkonkoma, NY 11779 (Physical)

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