MEDICARE: MRS. DANIELLE S HAUGH LMT

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	174400000X	Specialist	27 014040	NY

General Provider Information

NPI Number	:	1477754273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIELLE S HAUGH LMT

Provider Business Mailing Address
First Line	:	95 BIG TREE ST
Second Line	:
City	:	LIVONIA
State	:	NY
Zip	:	14487-9710
Country	:	US
Telephone Number	:	585-346-0162
Fax Number	:	585-346-0328

Provider Business Practice Location Address
First Line	:	5995 BIG TREE RD
Second Line	:
City	:	LAKEVILLE
State	:	NY
Zip	:	14480-9735
Country	:	US
Telephone Number	:	585-346-2270
Fax Number	:	585-346-0328

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

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	07/08/2007

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