Individual
CELEENAMMA DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-6745
Mailing address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4000
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
187546
NY
208000000X
Pediatrics Physician
187546
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01362129
—
NY
Enumeration date
11/17/2006
Last updated
06/05/2023
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