Basic Information
| Provider Information | |||||||||
| NPI: | 1265004915 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EPSTEIN | ||||||||
| FirstName: | DANIELLE | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11 BERKSHIRE RD | ||||||||
| Address2: | |||||||||
| City: | BETHPAGE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117141025 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6312524834 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3003 NEW HYDE PARK RD STE 401 | ||||||||
| Address2: | |||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110421214 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5162242400 | ||||||||
| FaxNumber: | 5162242401 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2021 | ||||||||
| LastUpdateDate: | 08/23/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WM0705X | 718786-1 | NY | N | Nursing Service Providers | Registered Nurse | Medical-Surgical | 390200000X | NY | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 363LF0000X | 348292 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.