Provider Demographics
NPI:1679099717
Name:ANDREWS, DANIELLE MARIA (DPT)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIA
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:MARIA
Other - Last Name:SANCILIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:847 HOLT RD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-9193
Mailing Address - Country:US
Mailing Address - Phone:585-300-4333
Mailing Address - Fax:
Practice Address - Street 1:847 HOLT RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-9193
Practice Address - Country:US
Practice Address - Phone:585-300-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042089225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist