MEDICARE: MISS DANIELLA MAY

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	251E00000X	Home Health Agency	3255901	NY

General Provider Information

NPI Number	:	1811446685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DANIELLA MAY

Provider Business Mailing Address
First Line	:	12015 135TH AVE
Second Line	:
City	:	SOUTH OZONE PARK
State	:	NY
Zip	:	11420-3210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12015 135TH AVE
Second Line	:
City	:	SOUTH OZONE PARK
State	:	NY
Zip	:	11420-3210
Country	:	US
Telephone Number	:	917-873-2370
Fax Number	:

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

Provider Enumeration Date	:	09/22/2016
Last Update Date	:	09/22/2016

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