Provider Demographics
NPI:1922421650
Name:D'ALESSIO, DANIELLA MARIE (DC)
Entity Type:Individual
Prefix:
First Name:DANIELLA
Middle Name:MARIE
Last Name:D'ALESSIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 BLOOMFIELD AVENUE
Mailing Address - Street 2:SUITE L21
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006
Mailing Address - Country:US
Mailing Address - Phone:973-294-8601
Mailing Address - Fax:
Practice Address - Street 1:519 BLOOMFIELD AVE
Practice Address - Street 2:SUITE L21
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-5550
Practice Address - Country:US
Practice Address - Phone:973-228-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00714600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor