Provider Demographics
NPI:1003185448
Name:KRIZNI, DANIELLE (CASAC)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:KRIZNI
Suffix:
Gender:F
Credentials:CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:567 E 105TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-2213
Mailing Address - Country:US
Mailing Address - Phone:718-307-3000
Mailing Address - Fax:718-307-3020
Practice Address - Street 1:567 E 105TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-2213
Practice Address - Country:US
Practice Address - Phone:718-307-3000
Practice Address - Fax:718-307-3020
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17863101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)