Provider Demographics
NPI:1760939656
Name:LOCSIN, DANNI (FNP)
Entity Type:Individual
Prefix:
First Name:DANNI
Middle Name:
Last Name:LOCSIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DANNI
Other - Middle Name:
Other - Last Name:SONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:13203 SANFORD AVE STE 1C
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4310
Mailing Address - Country:US
Mailing Address - Phone:718-961-8881
Mailing Address - Fax:718-961-4333
Practice Address - Street 1:13203 SANFORD AVE STE 1C
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4310
Practice Address - Country:US
Practice Address - Phone:718-961-8881
Practice Address - Fax:718-961-4333
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY340847363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily