Individual
MR. DANIEL UDEOZO TABANSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
16 GADSEN PL, STATEN ISLAND, NY 10314-4806
(917) 841-4506
Mailing address
16 GADSEN PL, STATEN ISLAND, NY 10314-4806
(917) 841-4506
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405615
NY
Other
Enumeration date
11/08/2025
Last updated
11/08/2025
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