Dani Elizabeth Ackerman

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Port Jefferson Station, NY

NPI 1750873196 · NPPES record last updated Jun 1, 2018

Key facts

NPI
1750873196
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
299 Hallock Ave
Port Jefferson Station, NY 11776-1217
Phone
(631) 473-4284
NPI assigned
Jun 1, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Mailing address

1 Hunter LN
Nesconset, NY 11767-1862
Phone (631) 707-4011

Other providers in Port Jefferson Station, NY

All providers in Port Jefferson Station, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.