Healthcare Provider Details

I. General information

NPI: 1659069789
Provider Name (Legal Business Name): DANIELLE MADSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2023
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E 70TH ST
NEW YORK NY
10021-9800
US

IV. Provider business mailing address

520 E 70TH ST STARR PAVILION, ST-05-507
NEW YORK NY
10021-9800
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-4071
  • Fax: 212-746-4734
Mailing address:
  • Phone: 212-746-4071
  • Fax: 212-746-4734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number343963-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number343963-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: