Provider Demographics
NPI:1750856928
Name:FIREMAN, DANIELLA E (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLA
Middle Name:E
Last Name:FIREMAN
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:DANIELLA
Other - Middle Name:
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:240 CENTRAL AVE APT 3K
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1561
Mailing Address - Country:US
Mailing Address - Phone:516-382-6545
Mailing Address - Fax:
Practice Address - Street 1:274 W BROADWAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3911
Practice Address - Country:US
Practice Address - Phone:516-897-0140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021130225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist