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NPI Code Detail

MEDICARE: DANAE KING

MEDICARE: DANAE KING
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
1363A00000XPhysician Assistant029404NY

General Provider Information

NPI Number : 1477229938
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANAE KING
Provider Business Mailing Address
First Line : 4258 CHESTNUT ST APT 507
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-3384
Country : US
Telephone Number : 516-312-0853
Fax Number :
Provider Business Practice Location Address
First Line : 7049 AUSTIN ST
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-1033
Country : US
Telephone Number : 718-280-1245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2021
Last Update Date : 05/12/2026

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Directions to “ DANAE KING ” Practice Location

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