Provider Demographics
NPI:1366338725
Name:MASON, DANIELLE MICHELLE
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MICHELLE
Last Name:MASON
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 1:20 OLD MINE RD
Mailing Address - Street 2:
Mailing Address - City:KERHONKSON
Mailing Address - State:NY
Mailing Address - Zip Code:12446-2675
Mailing Address - Country:US
Mailing Address - Phone:845-389-9181
Mailing Address - Fax:845-389-9181
Practice Address - Street 1:20 OLD MINE RD
Practice Address - Street 2:
Practice Address - City:KERHONKSON
Practice Address - State:NY
Practice Address - Zip Code:12446-2675
Practice Address - Country:US
Practice Address - Phone:845-389-9181
Practice Address - Fax:845-389-9181
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator