Provider Demographics
NPI:1609217744
Name:ZEIFMAN, DANIELLE ELISSA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:ELISSA
Last Name:ZEIFMAN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 W 52ND ST
Mailing Address - Street 2:APT 4H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-6284
Mailing Address - Country:US
Mailing Address - Phone:516-983-4768
Mailing Address - Fax:
Practice Address - Street 1:7338 BELL BLVD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11364-2930
Practice Address - Country:US
Practice Address - Phone:718-468-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0566651223X0400X
NJ22DI024727001223X0400X
CT0107971223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics