Healthcare Provider Details

I. General information

NPI: 1851709042
Provider Name (Legal Business Name): DANIELLE TORTORICI RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 EVERETT RD
ALBANY NY
12205-1407
US

IV. Provider business mailing address

123 EVERETT RD
ALBANY NY
12205-1407
US

V. Phone/Fax

Practice location:
  • Phone: 518-701-2085
  • Fax: 518-701-2020
Mailing address:
  • Phone: 518-701-2085
  • Fax: 518-701-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number017581-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: