Provider Demographics
NPI:1932751757
Name:CABRAL, DANIELLE LAUREN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:LAUREN
Last Name:CABRAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MADISON ST FL 2
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-2334
Mailing Address - Country:US
Mailing Address - Phone:917-821-8880
Mailing Address - Fax:
Practice Address - Street 1:865 NORTHERN BLVD STE 101
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5310
Practice Address - Country:US
Practice Address - Phone:516-622-5070
Practice Address - Fax:516-622-5060
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0647221835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care