Provider Demographics
NPI:1841466232
Name:HART, DANIELLE LEE (FNP-BC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LEE
Last Name:HART
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:LEE
Other - Last Name:DEANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:213 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3814
Mailing Address - Country:US
Mailing Address - Phone:386-295-6167
Mailing Address - Fax:
Practice Address - Street 1:213 MADISON AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3814
Practice Address - Country:US
Practice Address - Phone:212-725-0123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY336226363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily