Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | NY |
NPI | 1205105277 |
---|---|
Provider Name | Ms. Daneille Marie Corda |
First Address | East Setauket, NY 11733-3453 |
Second Address | East Setauket, NY 11733-3453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2011 |
Last Update Date | 21/12/2011 |