Provider Demographics
NPI:1457116899
Name:COULSON, DANIKA (CGC)
Entity type:Individual
Prefix:
First Name:DANIKA
Middle Name:
Last Name:COULSON
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 W 45TH ST APT 12B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4158
Mailing Address - Country:US
Mailing Address - Phone:971-400-5115
Mailing Address - Fax:971-400-5115
Practice Address - Street 1:510 W 45TH ST APT 12B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4158
Practice Address - Country:US
Practice Address - Phone:971-400-5115
Practice Address - Fax:971-400-5115
Is Sole Proprietor?:No
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS