Provider Demographics
NPI:1265704928
Name:ENGEL, DANIELLE J (MS SLP)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:J
Last Name:ENGEL
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:687 EVERDELL AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-3322
Mailing Address - Country:US
Mailing Address - Phone:631-383-6218
Mailing Address - Fax:
Practice Address - Street 1:350 DANIEL ST
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-3547
Practice Address - Country:US
Practice Address - Phone:631-867-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010568-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist