Provider Demographics
NPI:1548098502
Name:SWIERCZYNA, DANIELLE (MS, RDN, CDN)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:SWIERCZYNA
Suffix:
Gender:F
Credentials:MS, RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 4TH ST APT 6B
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-4892
Mailing Address - Country:US
Mailing Address - Phone:609-571-5501
Mailing Address - Fax:
Practice Address - Street 1:2615 GENESEE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-6230
Practice Address - Country:US
Practice Address - Phone:315-351-2622
Practice Address - Fax:315-215-2920
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010967133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered