Danielle Rullo
Early Intervention Provider Agency in Port Jefferson Station, NY. Individual provider (NPI-1).
NPI number1457154635
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1457154635
- Entity type
- Individual (NPI-1)
- Name
- Danielle Rullo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2025
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | 1175438 | NY | Yes |
Other names
- Danielle Tagliarino (Former Name)
Practice location
299 Hallock AvePort Jefferson Station, NY 11776-1217
Phone 631-397-0797
Mailing address
337 E Pine StLong Beach, NY 11561-2334
Phone 516-860-6591
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All 9 Early Intervention Provider Agency providers in Port Jefferson Station · All 1,186 providers in Port Jefferson Station
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