Individual
DANIELA LAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 MAMARONECK AVE, MAMARONECK, NY 10543-1629
(914) 438-0174
Mailing address
275 NORTH ST, HARRISON, NY 10528-1524
(914) 925-5402
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/22/2010
Last updated
08/19/2010
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