Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 3069 | CT |
NPI | 1003308362 |
---|---|
Provider Name | Danielle Sabelli |
First Address | West Hartford, CT 06107-1408 |
Second Address | Enfield, CT 06082-3713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2018 |
Last Update Date | 25/08/2021 |