| Doctor Name: | MR. DANIEL PATRICK DISALVO |
| NPI Number: | 1255520441 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNP |
| License Number: | NP07396 |
| Business Practice Address: | 1375 Commerce Dr New Lexington, OH - 437649511 |
| Business Phone Number: | 7404549766 |
| Business Fax Number: | 7405886452 |
| Mailing Address: | 1375 Commerce Dr, NEW LEXINGTON |
| State: | OH |
| Postal Code: | 437649511 |
| Phone Number: | 7404549766 |
| Fax Number: | 7405886452 |
| NPI Enumeration Date: | 10/23/2007 |
| NPI Last Update Date: | 09/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | NP07396 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |