Individual
DANIELLA OTAIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P
Contact information
Practice address
5 LITTLE CLOVE RD, STATEN ISLAND, NY 10301-4304
(718) 876-9600
(718) 876-7773
Mailing address
5 LITTLE CLOVE RD, STATEN ISLAND, NY 10301-4304
(718) 876-9600
(718) 876-7773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
338216
NY
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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