Provider Demographics
NPI:1770847345
Name:LABELLA, DANIELLE ELENORE (MA)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:ELENORE
Last Name:LABELLA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 STUART DR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-1420
Mailing Address - Country:US
Mailing Address - Phone:914-497-6503
Mailing Address - Fax:
Practice Address - Street 1:1890 PALMER AVE
Practice Address - Street 2:SUITE 404
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-3059
Practice Address - Country:US
Practice Address - Phone:914-833-1303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY542355111174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist