Provider Demographics
NPI:1346331451
Name:ALCANTARA, DANNY RAMONA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:RAMONA
Last Name:ALCANTARA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:841 CONCOURSE VLG W
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-3604
Mailing Address - Country:US
Mailing Address - Phone:347-590-2851
Mailing Address - Fax:347-590-2853
Practice Address - Street 1:841 CONCOURSE VLG W
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3604
Practice Address - Country:US
Practice Address - Phone:347-590-2851
Practice Address - Fax:347-590-2853
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048689122300000X
NJ22D102171600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02071305Medicaid