Provider Demographics
NPI:1982060794
Name:SCAGLUISO, DANIELA (RN)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:SCAGLUISO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 BERGEN STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN,
Mailing Address - State:NY
Mailing Address - Zip Code:11233
Mailing Address - Country:US
Mailing Address - Phone:718-221-4500
Mailing Address - Fax:718-221-2461
Practice Address - Street 1:1819 BERGEN STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233
Practice Address - Country:US
Practice Address - Phone:718-221-4500
Practice Address - Fax:718-221-2461
Is Sole Proprietor?:No
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 534631163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse