Healthcare Provider Details

I. General information

NPI: 1386472488
Provider Name (Legal Business Name): DANIELLE SINANAJ FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MAIN ST
PEEKSKILL NY
10566-6816
US

IV. Provider business mailing address

150 EILEEN WAY UNIT 1
SYOSSET NY
11791-5313
US

V. Phone/Fax

Practice location:
  • Phone: 914-737-8400
  • Fax:
Mailing address:
  • Phone: 888-860-3274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF353260-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: