Healthcare Provider Details

I. General information

NPI: 1306545942
Provider Name (Legal Business Name): DANIELLE KAPLAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANIELLE CALABRESE

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 NEWCOMB TRL
RIDGE NY
11961-2238
US

IV. Provider business mailing address

7 NEWCOMB TRL
RIDGE NY
11961-2238
US

V. Phone/Fax

Practice location:
  • Phone: 631-205-6210
  • Fax:
Mailing address:
  • Phone: 631-506-9692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number684166
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: