Provider Demographics
NPI:1700082823
Name:BARTH, DANIELLE SUZANNE (MSPT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:SUZANNE
Last Name:BARTH
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:152 WEST 57 STREET
Mailing Address - Street 2:6TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-799-6700
Mailing Address - Fax:212-799-4533
Practice Address - Street 1:152 WEST 57 STREET
Practice Address - Street 2:6TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-799-6700
Practice Address - Fax:212-799-4533
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021603-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist