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NPI Code Detail

MEDICARE: MRS. DANIELLE PREISER MSW

MEDICARE: MRS. DANIELLE PREISER MSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1548500945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE PREISER MSW
Provider Business Mailing Address
First Line : 11 ROUTE 111
Second Line :
City : SMITHTOWN
State : NY
Zip : 11787-3739
Country : US
Telephone Number : 631-920-8306
Fax Number : 631-920-8466
Provider Business Practice Location Address
First Line : 11 ROUTE 111
Second Line :
City : SMITHTOWN
State : NY
Zip : 11787-3739
Country : US
Telephone Number : 631-920-8306
Fax Number : 631-920-8466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2013
Last Update Date : 02/21/2013

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