Individual
DANIELLE TAYLOR KLEINHANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1104
(718) 883-3000
Mailing address
35 SCHOLL DR, FARMINGDALE, NY 11735-3112
(516) 965-7807
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
025484
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246153
—
NY
Enumeration date
09/09/2020
Last updated
09/09/2020
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