Provider Demographics
NPI:1609139104
Name:PRADO, DANALOU VALENCIA (MSED)
Entity Type:Individual
Prefix:MRS
First Name:DANALOU
Middle Name:VALENCIA
Last Name:PRADO
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 1:7116 164TH ST
Mailing Address - Street 2:2FL
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-4239
Mailing Address - Country:US
Mailing Address - Phone:917-992-1020
Mailing Address - Fax:
Practice Address - Street 1:7116 164TH ST
Practice Address - Street 2:2FL
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-4239
Practice Address - Country:US
Practice Address - Phone:917-992-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist