Individual
DANIELLE HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
800 POLY PL, BROOKLYN, NY 11209-7104
(718) 836-6600
Mailing address
55 VAN BUREN ST, MASSAPEQUA PARK, NY 11762-2440
(516) 521-2290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
630482
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402270
NY
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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