Provider Demographics
NPI:1659092161
Name:DANIN, WENDY TAI
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:TAI
Last Name:DANIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 ARDSLEY LOOP APT 8E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11239-1309
Mailing Address - Country:US
Mailing Address - Phone:929-409-9359
Mailing Address - Fax:
Practice Address - Street 1:185 ARDSLEY LOOP APT 8E
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11239-1309
Practice Address - Country:US
Practice Address - Phone:929-409-9359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency