Provider Demographics
NPI:1942631650
Name:DELAMO, DANIA (DPT)
Entity Type:Individual
Prefix:
First Name:DANIA
Middle Name:
Last Name:DELAMO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DANIA
Other - Middle Name:
Other - Last Name:YANEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:31 NEW DORP LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-2351
Mailing Address - Country:US
Mailing Address - Phone:718-370-3500
Mailing Address - Fax:718-979-5236
Practice Address - Street 1:194 JORALEMON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4312
Practice Address - Country:US
Practice Address - Phone:718-643-7116
Practice Address - Fax:718-643-7119
Is Sole Proprietor?:No
Enumeration Date:2013-12-05
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036962225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400096756Medicare PIN