MEDICARE: MS. ROSE MARY ANN DANIELE RN, CS, MSN, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F330846-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255325064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSE MARY ANN DANIELE RN, CS, MSN, FNP

Provider Business Mailing Address
First Line	:	8687 BAY 16TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4513
Country	:	US
Telephone Number	:	718-256-0838
Fax Number	:	718-256-6144

Provider Business Practice Location Address
First Line	:	1280 DEKALB AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-3204
Country	:	US
Telephone Number	:	718-455-9000
Fax Number	:	718-452-6112

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	02/18/2016

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