Provider Demographics
NPI:1649646308
Name:DANIELLO & EIGO ORTHODONTICS, PLLC
Entity type:Organization
Organization Name:DANIELLO & EIGO ORTHODONTICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:EIGO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:518-222-5777
Mailing Address - Street 1:191 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-2530
Mailing Address - Country:US
Mailing Address - Phone:518-587-8777
Mailing Address - Fax:518-587-1138
Practice Address - Street 1:191 LAKE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-2530
Practice Address - Country:US
Practice Address - Phone:518-587-8777
Practice Address - Fax:518-587-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0460511223X0400X
NY0442281223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty