DANIELLE DESPRES NPI 1063876696

NPI Information

NPI: 1063876696
Provider Name: DANIELLE DESPRES
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: ADVANTAGECARE PHYSICIANS PC

PECOS Registration: Yes

Address:
4337 BROADWAY
NEW YORK, NY
ZIP 10033
Phone: (212) 568-6300
Get Directions

Danielle Despres is a foot and ankle surgery podiatrist in New York, NY with 8 years of experience. Danielle Despres NPI is 1063876696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2016

The provider's business location address is:

4337 BROADWAY
NEW YORK, NY
ZIP 10033-411
Phone: (212) 568-6300
Fax: (212) 544-5094

The NPI 1063876696 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/9/2016 and was last updated on 9/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	N007014	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N007014	OTHER	NEW YORK	NYS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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