Provider Demographics
NPI:1811343965
Name:HYNE, DANIELLE (MS)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:HYNE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1020
Mailing Address - Street 2:
Mailing Address - City:SOUND BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11789-0962
Mailing Address - Country:US
Mailing Address - Phone:631-926-8312
Mailing Address - Fax:
Practice Address - Street 1:69 BEACON DR
Practice Address - Street 2:
Practice Address - City:SOUND BEACH
Practice Address - State:NY
Practice Address - Zip Code:11789-2015
Practice Address - Country:US
Practice Address - Phone:631-926-8312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services