Provider Demographics
NPI:1023744810
Name:KESTENBAUM, DANIELLE AMY
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:AMY
Last Name:KESTENBAUM
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DANIELLE
Other - Middle Name:AMY
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 N WOOD LN
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2121
Mailing Address - Country:US
Mailing Address - Phone:516-318-0616
Mailing Address - Fax:
Practice Address - Street 1:321 DOUGHTY BLVD
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:NY
Practice Address - Zip Code:11096-1348
Practice Address - Country:US
Practice Address - Phone:516-791-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency