Provider Demographics
NPI:1205561537
Name:PALESE, DANIEL (MA, MT-BC, LCAT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:PALESE
Suffix:
Gender:M
Credentials:MA, MT-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2243 27TH ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-3139
Mailing Address - Country:US
Mailing Address - Phone:914-960-9697
Mailing Address - Fax:
Practice Address - Street 1:200 EDISON RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3602
Practice Address - Country:US
Practice Address - Phone:203-508-7883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist