MEDICARE: DR. DANIELLE M SQUITIERI CH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X009187	NY

General Provider Information

NPI Number	:	1285678193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELLE M SQUITIERI CH

Provider Business Mailing Address
First Line	:	40 TRIANGLE CENTER
Second Line	:	SUITE 215
City	:	YORKTOWN HTS
State	:	NY
Zip	:	10598
Country	:	US
Telephone Number	:	914-962-5413
Fax Number	:	914-962-1186

Provider Business Practice Location Address
First Line	:	40 TRIANGLE CENTER
Second Line	:	SUITE 215
City	:	YORKTOWN HTS
State	:	NY
Zip	:	10598
Country	:	US
Telephone Number	:	914-962-5413
Fax Number	:	914-962-1186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	12/26/2007

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