MEDICARE: DANIELLE NICOLE SCAFIDI

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	363LF0000X	Family Nurse Practitioner	356289	NY

General Provider Information

NPI Number	:	1528918844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE NICOLE SCAFIDI

Provider Business Mailing Address
First Line	:	22 POPLAR LN
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-1961
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 POPLAR LN
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-1961
Country	:	US
Telephone Number	:	718-966-0352
Fax Number	:

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

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ DANIELLE NICOLE SCAFIDI ” Practice Location

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