Provider Demographics
NPI:1679351639
Name:PERROTTO, DANIELLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:PERROTTO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MERRITT AVE
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-3110
Mailing Address - Country:US
Mailing Address - Phone:917-952-4528
Mailing Address - Fax:
Practice Address - Street 1:24 MERRITT AVE
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-3110
Practice Address - Country:US
Practice Address - Phone:917-952-4528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025935-01103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical