Provider Demographics
NPI:1649436056
Name:JAFFE, DANIELLE SCHULMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:SCHULMAN
Last Name:JAFFE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:L
Other - Last Name:SCHULMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:360 E 65TH ST
Mailing Address - Street 2:APT 18F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6712
Mailing Address - Country:US
Mailing Address - Phone:516-319-9423
Mailing Address - Fax:212-532-3622
Practice Address - Street 1:235 E 22ND ST
Practice Address - Street 2:SUITE 3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4616
Practice Address - Country:US
Practice Address - Phone:212-532-3636
Practice Address - Fax:212-532-3622
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0540101223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics