Healthcare Provider Details

I. General information

NPI: 1730263237
Provider Name (Legal Business Name): DANIELLE ELAINE CHIARAVALLOTI FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 ROUTE 403 GERGELY PEDIATRICS
GARRISON NY
10524
US

IV. Provider business mailing address

34 ROUTE 403
GARRISON NY
10524
US

V. Phone/Fax

Practice location:
  • Phone: 845-424-4444
  • Fax: 845-424-4664
Mailing address:
  • Phone: 845-424-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number5049451
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF3325901
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: