Provider Demographics
NPI:1376669945
Name:HRONCICH, DANIELLE MARGHERITA (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MARGHERITA
Last Name:HRONCICH
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:MARGHERITA
Other - Last Name:MARCUCCI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSPT
Mailing Address - Street 1:129 WEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-3417
Mailing Address - Country:US
Mailing Address - Phone:631-392-1306
Mailing Address - Fax:
Practice Address - Street 1:12 TECHNOLOGY DR
Practice Address - Street 2:UNIT 2
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-4049
Practice Address - Country:US
Practice Address - Phone:631-513-6538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022106-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist