Doctor Name: | DANIELLE AMATUCCIO |
NPI Number: | 1023397890 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS. ED. |
License Number: | |
Business Practice Address: | 6725 188th St Fresh Meadows, NY - 113653767 |
Business Phone Number: | 7184546460 |
Business Fax Number: | |
Mailing Address: | 6725 188th St, FRESH MEADOWS |
State: | NY |
Postal Code: | 113653767 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/11/2011 |
NPI Last Update Date: | 10/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |