Individual
DR. FRED A DANIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
567 9TH ST, BROOKLYN, NY 11215-4205
(917) 907-2772
Mailing address
270 5TH ST, 4D, BROOKLYN, NY 11215-7418
(718) 499-2772
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013727
NY
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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