Provider Demographics
NPI:1609385582
Name:ZUMA, DANIELLE KNOBEL (NP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:KNOBEL
Last Name:ZUMA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 RHODES DR
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3527
Mailing Address - Country:US
Mailing Address - Phone:516-528-6918
Mailing Address - Fax:
Practice Address - Street 1:65 RHODES DR
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-3527
Practice Address - Country:US
Practice Address - Phone:516-528-6918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY673911163WE0003X
NY308464363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WE0003XNursing Service ProvidersRegistered NurseEmergency