Provider Demographics
NPI:1851533053
Name:PRIVITERA, DANIELLE HARMON (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:HARMON
Last Name:PRIVITERA
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 1:650 WHITNEY RD W STE P
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-1075
Mailing Address - Country:US
Mailing Address - Phone:585-678-4311
Mailing Address - Fax:
Practice Address - Street 1:650 WHITNEY RD W STE P
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-1075
Practice Address - Country:US
Practice Address - Phone:585-678-4311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269422208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics