Provider Demographics
NPI:1124263272
Name:ADRIEN, DENISE DANIELLE
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:DANIELLE
Last Name:ADRIEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 670842
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-0842
Mailing Address - Country:US
Mailing Address - Phone:646-345-7478
Mailing Address - Fax:
Practice Address - Street 1:13507 62ND RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1006
Practice Address - Country:US
Practice Address - Phone:646-345-7478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003309101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health