Provider Demographics
NPI:1023552783
Name:GRECI, DANIELA
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:GRECI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:
Other - Last Name:ABBALLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:150 51ST AVE
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-5991
Mailing Address - Country:US
Mailing Address - Phone:718-609-3320
Mailing Address - Fax:
Practice Address - Street 1:150 51ST AVE
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5991
Practice Address - Country:US
Practice Address - Phone:718-609-3320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017168235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist