Individual
DANIELLE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 COLUMBUS CIR, NEW YORK, NY 10019-1412
(212) 326-8441
Mailing address
49 8TH AVE, NEW YORK, NY 10014-5112
(914) 409-8784
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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