| Doctor Name: | DANIELA PISACANE |
| NPI Number: | 1538455902 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NJ00334300 |
| Business Practice Address: | 245 Valley Blvd Ste 1 Wood Ridge, NJ - 070751236 |
| Business Phone Number: | 2014385500 |
| Business Fax Number: | |
| Mailing Address: | 245 Valley Blvd Ste 1, WOOD RIDGE |
| State: | NJ |
| Postal Code: | 070751236 |
| Phone Number: | 2014385500 |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2011 |
| NPI Last Update Date: | 06/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NJ00334300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |