Provider Demographics
NPI:1144535014
Name:GERSTENFELD, MICHELE DANEEN (ND)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:DANEEN
Last Name:GERSTENFELD
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:MICHELE
Other - Middle Name:DANEEN
Other - Last Name:TOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:46 MILL PLAIN RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-5140
Mailing Address - Country:US
Mailing Address - Phone:203-297-6120
Mailing Address - Fax:203-297-6122
Practice Address - Street 1:46 MILL PLAIN RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-5140
Practice Address - Country:US
Practice Address - Phone:203-297-6120
Practice Address - Fax:203-297-6122
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000373175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath