Provider Demographics
NPI:1013342765
Name:ASQUINO, DANIELLE M
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:M
Last Name:ASQUINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 DAISY DR
Mailing Address - Street 2:
Mailing Address - City:MASTIC BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11951-3714
Mailing Address - Country:US
Mailing Address - Phone:631-336-7253
Mailing Address - Fax:
Practice Address - Street 1:119 DAISY DR
Practice Address - Street 2:
Practice Address - City:MASTIC BEACH
Practice Address - State:NY
Practice Address - Zip Code:11951-3714
Practice Address - Country:US
Practice Address - Phone:631-336-7253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY690168174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist