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NPI Code Detail

MEDICARE: MRS. DANIELLE MARIE URREGO-PULIDO MSED., PD

MEDICARE: MRS. DANIELLE MARIE URREGO-PULIDO MSED., PD
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
1174400000XSpecialist
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1609138080
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANIELLE MARIE URREGO-PULIDO MSED., PD
Provider Business Mailing Address
First Line : 358 W MARKET ST
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-1812
Country : US
Telephone Number : 516-897-2506
Fax Number :
Provider Business Practice Location Address
First Line : 358 W MARKET ST
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-1812
Country : US
Telephone Number : 516-897-2506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2012
Last Update Date : 12/29/2025

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