Healthcare Provider Details

I. General information

NPI: 1568013076
Provider Name (Legal Business Name): DANIELLE RAE SFORZA PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2019
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

462 1ST AVE # 15S5-14
NEW YORK NY
10016-9196
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2739
  • Fax:
Mailing address:
  • Phone: 212-562-3917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number024300
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA67999
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: