Provider Demographics
NPI:1275874505
Name:ALPAUGH, DANIELLE RACHAEL
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:RACHAEL
Last Name:ALPAUGH
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 1:4115 51ST ST
Mailing Address - Street 2:A12
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-4465
Mailing Address - Country:US
Mailing Address - Phone:917-660-5541
Mailing Address - Fax:
Practice Address - Street 1:4115 51ST ST
Practice Address - Street 2:A12
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4465
Practice Address - Country:US
Practice Address - Phone:917-660-5541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY809742174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist