Healthcare Provider Details

I. General information

NPI: 1245998525
Provider Name (Legal Business Name): DANIELLE BINN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 09/21/2026
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 PADDY HILL DR
ROCHESTER NY
14616-1139
US

IV. Provider business mailing address

191 PADDY HILL DR
ROCHESTER NY
14616-1139
US

V. Phone/Fax

Practice location:
  • Phone: 585-771-7440
  • Fax:
Mailing address:
  • Phone: 585-771-7440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number132723
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: