MEDICARE: MRS. DANIELLE VALERIE ALBEOS TABEL-CASIO PT

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	225100000X	Physical Therapist	051967	NY

General Provider Information

NPI Number	:	1396605135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIELLE VALERIE ALBEOS TABEL-CASIO PT

Provider Business Mailing Address
First Line	:	8715 165TH ST APT 6N
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-3518
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6421 FRESH POND RD
Second Line	:
City	:	RIDGEWOOD
State	:	NY
Zip	:	11385-3330
Country	:	US
Telephone Number	:	631-209-5700
Fax Number	:

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

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	06/13/2026

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