Individual
DANILO A ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(631) 940-1120
(631) 940-3109
Mailing address
40 SUFFOLK PL, DEER PARK, NY 11729-3032
(631) 940-1120
(631) 940-3109
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
200191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01666779
—
NY
Enumeration date
01/26/2006
Last updated
10/27/2021
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