Provider Demographics
NPI:1528363520
Name:ALTSCHUH, DANIELLE (RN)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:ALTSCHUH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 E 77TH ST
Mailing Address - Street 2:4D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-8810
Mailing Address - Country:US
Mailing Address - Phone:917-417-3806
Mailing Address - Fax:
Practice Address - Street 1:517 E 77TH ST
Practice Address - Street 2:4D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-8810
Practice Address - Country:US
Practice Address - Phone:917-417-3806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY599698163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse