Provider Demographics
NPI:1760537963
Name:ARDELJAN, DANIELA MARIA (PNP)
Entity Type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:MARIA
Last Name:ARDELJAN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:MRS
Other - First Name:DANIELA
Other - Middle Name:MARIA
Other - Last Name:STANCIU-ARDELJAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PNP
Mailing Address - Street 1:19 WOOD LN
Mailing Address - Street 2:
Mailing Address - City:LOCUST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11560-1628
Mailing Address - Country:US
Mailing Address - Phone:516-629-6576
Mailing Address - Fax:
Practice Address - Street 1:350 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-2813
Practice Address - Country:US
Practice Address - Phone:718-330-9357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380881-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics