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1922735430
DANIELLE NICOLE DISTASI SANTOS
COMMACK, NY
NPI
1922735430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 2197709)
Enumeration Date
2022-08-04
Last Update Date
2022-08-04
Business Address
DANIELLE NICOLE DISTASI SANTOS
14 FARMSTEAD RD
COMMACK, NY 11725-1506
Phone number: 631-456-7977
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Mailing Address
DANIELLE NICOLE DISTASI SANTOS
14 FARMSTEAD RD
COMMACK, NY 11725-1506
Phone number: 631-456-7977
Copy
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