Healthcare Provider Details

I. General information

NPI: 1225795974
Provider Name (Legal Business Name): DANIELLE KNAPPENBERGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1273 57TH ST
BROOKLYN NY
11219-4524
US

IV. Provider business mailing address

180A 8TH ST
BROOKLYN NY
11215-3214
US

V. Phone/Fax

Practice location:
  • Phone: 718-435-2554
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number761909
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: