Most Relevant Information
Provider Data
| NPI Number: | 1003248535 |
| Provider Name: | DANIELLA OTAIZA F.N.P |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 338216 |
Most Important Dates
| Enumeration Date: | 08/07/2013 |
| Last Updated: | 08/07/2013 |
Provider Practice Location
5 LITTLE CLOVE RD
STATEN ISLAND
NY
103014304
Practice Location Phone/Fax
| Phone: | 7188769600 |
| Fax: | 7188767773 |
Provider Mailing Location
5 LITTLE CLOVE RD
STATEN ISLAND
NY
103014304
Provider Mailing Phone/Fax
| Phone: | 7188769600 |
| Fax: | 7188767773 |