Provider Demographics
NPI:1205623246
Name:CARFIELLO, MICHELE DANIELLE
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:DANIELLE
Last Name:CARFIELLO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 BEACH AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08070-1622
Mailing Address - Country:US
Mailing Address - Phone:856-776-3177
Mailing Address - Fax:
Practice Address - Street 1:52 BEACH AVE
Practice Address - Street 2:
Practice Address - City:PENNSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08070-1622
Practice Address - Country:US
Practice Address - Phone:856-776-3177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00738200225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist