DANIELLE KOSSACK

PORT JEFFERSON STATION, NY
NPI1811488521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-05-29
Last Update Date2018-05-29
Business Address
DANIELLE KOSSACK
299 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776-1217
Phone number: 631-473-4284
Mailing Address
DANIELLE KOSSACK
24 VALLEY ST
LAKE RONKONKOMA, NY 11779-1848
Phone number: 631-316-0775