Healthcare Provider Details

I. General information

NPI: 1235021312
Provider Name (Legal Business Name): MS. DANA KIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/15/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 HUDSON DRIVE DANA.L.KIEL@GMAIL.COM
DOBBS FERRY NY
10522
US

IV. Provider business mailing address

21 HUDSON DRIVE DANA.L.KIEL@GMAIL.COM
DOBBS FERRY NY
10522
US

V. Phone/Fax

Practice location:
  • Phone: 917-557-1762
  • Fax: 917-557-1762
Mailing address:
  • Phone: 917-557-1762
  • Fax: 917-557-1762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR044218-01
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: