1275985392 NPI number — MRS. DANIELLE MAYA PASKHOVER ED.M., M.S.

Table of content: MRS. DANIELLE MAYA PASKHOVER ED.M., M.S. (NPI 1275985392)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275985392 NPI number — MRS. DANIELLE MAYA PASKHOVER ED.M., M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PASKHOVER
Provider First Name:
DANIELLE
Provider Middle Name:
MAYA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
ED.M., M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
UMANOFF
Provider Other First Name:
DANIELLE
Provider Other Middle Name:
MAYA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
ED.M.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1275985392
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/13/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
333 RIVER ST
Provider Second Line Business Mailing Address:
APARTMENT 928
Provider Business Mailing Address City Name:
HOBOKEN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07030-5856
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-230-7087
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 RIVER ST
Provider Second Line Business Practice Location Address:
APARTMENT 928
Provider Business Practice Location Address City Name:
HOBOKEN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07030-5856
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-230-7087
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/13/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)