Provider Demographics
NPI:1609138080
Name:URREGO-PULIDO, DANIELLE MARIE (MSED, PD)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MARIE
Last Name:URREGO-PULIDO
Suffix:
Gender:F
Credentials:MSED, PD
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:MARIE
Other - Last Name:CHIARMONTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:358 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-1812
Mailing Address - Country:US
Mailing Address - Phone:516-897-2506
Mailing Address - Fax:
Practice Address - Street 1:358 W MARKET ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-1812
Practice Address - Country:US
Practice Address - Phone:516-897-2506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist