=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396098521
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANIELLE SCHILPP DVM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/25/2012
-----------------------------------------------------
Last Update Date | 10/25/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2933 ROUTE 22 NEW ENGLAND EQUINE
-----------------------------------------------------
City | PATTERSON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12563-2335
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-878-7500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2933 ROUTE 22 NEW ENGLAND EQUINE
-----------------------------------------------------
City | PATTERSON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12563-2335
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-878-7500
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 173000000X
-----------------------------------------------------
Taxonomy Name | Legal Medicine
-----------------------------------------------------
License Number | 9736-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------