Provider Demographics
NPI:1427062991
Name:BRECHTER, DANIELLE (NP)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:
Last Name:BRECHTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CENTER DR
Mailing Address - Street 2:RIVERHEAD HEALTH CENTER
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901
Mailing Address - Country:US
Mailing Address - Phone:631-852-1803
Mailing Address - Fax:631-852-1807
Practice Address - Street 1:300 CENTER DR
Practice Address - Street 2:RIVERHEAD HEALTH CENTER
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901
Practice Address - Country:US
Practice Address - Phone:631-852-1803
Practice Address - Fax:631-852-1807
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF381357363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics