Provider Demographics
NPI:1639486210
Name:BROWN, DANIELLE (DANIELLE BROWN)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:DANIELLE BROWN
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:279 ARCADIA AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-1723
Mailing Address - Country:US
Mailing Address - Phone:718-388-0066
Mailing Address - Fax:
Practice Address - Street 1:279 ARCADIA AVE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-1723
Practice Address - Country:US
Practice Address - Phone:718-388-0066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012371225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist