Provider Demographics
NPI:1962991182
Name:ROBEANTS, DANIELLE THERESA
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:THERESA
Last Name:ROBEANTS
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 1:10 POINSETTA AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:11953-1420
Mailing Address - Country:US
Mailing Address - Phone:631-838-9743
Mailing Address - Fax:
Practice Address - Street 1:10 POINSETTA AVE
Practice Address - Street 2:
Practice Address - City:MIDDLE ISLAND
Practice Address - State:NY
Practice Address - Zip Code:11953-1420
Practice Address - Country:US
Practice Address - Phone:631-838-9743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula