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Jennifer Daniello
NPI 1932677143 · on the registry since 2018
Practice
- Address
- 1360 Route 112
Port Jefferson Station, NY 11776 - Phone
- (631) 473-7100
- Organisation at this address
- Jbg Holding Company Llc
Vjj Holding Company, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York