| Doctor Name: | MISS DANIELLE FAYE STOEBE |
| NPI Number: | 1033258009 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPA-C |
| License Number: | 010778 |
| Business Practice Address: | 54 Woodville Rd Shoreham, NY - 117861331 |
| Business Phone Number: | 6319291256 |
| Business Fax Number: | 6319298313 |
| Mailing Address: | 185 Old Country Rd, Suite 2 RIVERHEAD |
| State: | NY |
| Postal Code: | 119012121 |
| Phone Number: | 6312984479 |
| Fax Number: | 6315913047 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 04/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 010778 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |