Provider Demographics
NPI:1760537963
Name:ARDELJAN, DANIELA MARIA (PNP)
Entity type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:MARIA
Last Name:ARDELJAN
Suffix:
Gender:
Credentials:PNP
Other - Prefix:MRS
Other - First Name:DANIELA
Other - Middle Name:MARIA
Other - Last Name:STANCIU-ARDELJAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PNP
Mailing Address - Street 1:19 WOOD LN
Mailing Address - Street 2:
Mailing Address - City:LOCUST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11560-1628
Mailing Address - Country:US
Mailing Address - Phone:347-742-5063
Mailing Address - Fax:
Practice Address - Street 1:333 GLEN HEAD RD STE 280
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-1953
Practice Address - Country:US
Practice Address - Phone:516-676-1274
Practice Address - Fax:516-674-4946
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380881-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics