Most Relevant Information
Provider Data
NPI Number: | 1003259599 |
Provider Name: | DANIELLE MARIE SARDON |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/15/2013 |
Last Updated: | 10/14/2016 |
Provider Practice Location
65 1ST ST
TROY
NY
121804013
Practice Location Phone/Fax
Phone: | 5182442000 |
Fax: |
Provider Mailing Location
65 1ST ST
TROY
NY
121804013
Provider Mailing Phone/Fax
Phone: | |
Fax: |