Provider Demographics
NPI:1730263237
Name:CHIARAVALLOTI, DANIELLE ELAINE (FNPC)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:ELAINE
Last Name:CHIARAVALLOTI
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 ROUTE 403
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10524
Mailing Address - Country:US
Mailing Address - Phone:845-424-4444
Mailing Address - Fax:
Practice Address - Street 1:34 ROUTE 403
Practice Address - Street 2:GERGELY PEDIATRICS
Practice Address - City:GARRISON
Practice Address - State:NY
Practice Address - Zip Code:10524
Practice Address - Country:US
Practice Address - Phone:845-424-4444
Practice Address - Fax:845-424-4664
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5049451163W00000X
NYF3325901363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner