Individual
DANIELLE MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
90 S BEDFORD RD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
Mailing address
2299 POST ST, STE 205, SAN FRANCISCO, CA 94115-3473
(415) 292-0638
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5374
CA
213ES0131X
Foot Surgery Podiatrist
006575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03774169
—
NY
01
—
A400095138
MEDICARE PTAN
NY
Enumeration date
06/09/2010
Last updated
12/30/2017
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