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NPI Code Detail

MEDICARE: DANIELLE MARIE BIRCKHEAD

MEDICARE:   DANIELLE MARIE BIRCKHEAD
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
1225X00000XOccupational TherapistP80350NY

General Provider Information

NPI Number : 1437445749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MARIE BIRCKHEAD
Provider Business Mailing Address
First Line : 3975 DOUGLAS HEIGHTS DR
Second Line :
City : CANASTOTA
State : NY
Zip : 13032-4729
Country : US
Telephone Number : 315-532-1816
Fax Number :
Provider Business Practice Location Address
First Line : 3975 DOUGLAS HEIGHTS DR
Second Line :
City : CANASTOTA
State : NY
Zip : 13032-4729
Country : US
Telephone Number : 315-532-1816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2011
Last Update Date : 03/28/2024

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Directions to “ DANIELLE MARIE BIRCKHEAD ” Practice Location

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