| NPI Details | |
|---|---|
| NPI | 1619113156 |
| Gender | Male |
| Enumeration Date | 01/06/2009 |
| Last Updated | 01/06/2009 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 116 W 32ND ST NEW YORK NY, 10001-3212, US |
|
| Phone | (212) 564-2350 |
| Fax | (212) 564-2578 |
| Business Location | |
|---|---|
| 347 RIDGEWOOD AVE STATEN ISLAND NY, 10312, US |
|
| Phone | (917) 957-1156 |
| Fax | (718) 605-6188 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | New York |
| License Number | 016105 |
| Remove 1619113156 NPI Number | |
According to our database, Danilo Shane Decastro Badiola NPI is 1619113156, taxonomy code is 225100000X and license number is 016105, license state is located at New York. Danilo Shane Decastro Badiola physically located at 116 W 32nd St, New York NY, 10001-3212. NPI Number Danilo Shane Decastro Badiola has the Individual type.
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1619113156 NPI number is provided on an as is basis without warranty of any kind. 1619113156 is maintained by the National Plan & Provider Enumeration System. The contents of Danilo Shane Decastro Badiola are for informational purposes only.
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