Provider Demographics
NPI:1225388820
Name:FLORES, DANIELA BELIZE
Entity Type:Individual
Prefix:MS
First Name:DANIELA
Middle Name:BELIZE
Last Name:FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 EAST 14TH STREET
Mailing Address - Street 2:#3C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-3014
Mailing Address - Country:US
Mailing Address - Phone:646-744-6835
Mailing Address - Fax:
Practice Address - Street 1:535 EAST 14TH STREET
Practice Address - Street 2:#3C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-3014
Practice Address - Country:US
Practice Address - Phone:646-744-6835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY648991174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist