Provider Demographics
NPI:1598027575
Name:SHAPIRO-NUSSEN, DANIELLE KARIN (MSED)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:KARIN
Last Name:SHAPIRO-NUSSEN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 N BROADWAY
Mailing Address - Street 2:APT 1K
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-2219
Mailing Address - Country:US
Mailing Address - Phone:914-473-1161
Mailing Address - Fax:
Practice Address - Street 1:10 N BROADWAY
Practice Address - Street 2:APT1K
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-2219
Practice Address - Country:US
Practice Address - Phone:914-473-1161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist