Doctor Name: | DANIEL GIEDT |
NPI Number: | 1043308190 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | F400469-1 |
Business Practice Address: | 113 Glen Cove Ave Glen Cove, NY - 115423438 |
Business Phone Number: | 5166762388 |
Business Fax Number: | 5167595259 |
Mailing Address: | 113 Glen Cove Ave, GLEN COVE |
State: | NY |
Postal Code: | 115423438 |
Phone Number: | 5166762388 |
Fax Number: | 5167595259 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | F400469-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |