| Doctor Name: | MS. DANIELLE MARIE BLEEKER |
| NPI Number: | 1154607695 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPA-C |
| License Number: | 1099459 |
| Business Practice Address: | 26 Bentley Dr Franklin Lakes, NJ - 074171943 |
| Business Phone Number: | 2019810924 |
| Business Fax Number: | |
| Mailing Address: | 126 W 60th St, NEW YORK |
| State: | NY |
| Postal Code: | 100237402 |
| Phone Number: | 2126363983 |
| Fax Number: | 2126363979 |
| NPI Enumeration Date: | 10/28/2011 |
| NPI Last Update Date: | 10/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 1099459 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |