Dr Danielle Southerst, DC | |
63 Downing St, New York, NY 10014-4331 | |
(212) 255-6690 | |
Not Available |
Full Name | Dr Danielle Southerst |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 63 Downing St, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275077364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X012871-1 (New York) | Primary |
Provider Name | New York University |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Mailing Address | Practice Location Address |
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Dr Danielle Southerst, DC 63 Downing St, New York, NY 10014-4331 Ph: (212) 255-6690 | Dr Danielle Southerst, DC 63 Downing St, New York, NY 10014-4331 Ph: (212) 255-6690 |
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