Healthcare Provider Details

I. General information

NPI: 1629788112
Provider Name (Legal Business Name): DANIELA MARIA RUGGIERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2022
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E 70TH ST FL 3
NEW YORK NY
10021-4872
US

IV. Provider business mailing address

505 E 70TH ST FL 3
NEW YORK NY
10021-4872
US

V. Phone/Fax

Practice location:
  • Phone: 516-761-0707
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number383451
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: