Provider Demographics
NPI:1053133348
Name:STRAHAN, DANIELLE NICOLE (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:NICOLE
Last Name:STRAHAN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:MISS
Other - First Name:DANIELLE
Other - Middle Name:NICOLE
Other - Last Name:CIULLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:68 S SERVICE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2350
Mailing Address - Country:US
Mailing Address - Phone:929-777-0173
Mailing Address - Fax:
Practice Address - Street 1:68 S SERVICE RD STE 100
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2350
Practice Address - Country:US
Practice Address - Phone:929-777-0173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF405944363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health