Provider Demographics
NPI:1710180641
Name:DAURIA, DANIELLE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:MARIE
Last Name:DAURIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6932 WILLIAMS RD STE 1700
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-3072
Mailing Address - Country:US
Mailing Address - Phone:716-297-7040
Mailing Address - Fax:716-297-7048
Practice Address - Street 1:6932 WILLIAMS RD STE 1700
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-3072
Practice Address - Country:US
Practice Address - Phone:716-297-7040
Practice Address - Fax:716-297-7048
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243312208200000X
MA235130207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery