Provider Demographics
NPI:1174334742
Name:MADRIGAL, DANIELLE (CD, PCD)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:MADRIGAL
Suffix:
Gender:F
Credentials:CD, PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 JACKSON AVE APT 210
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-4930
Mailing Address - Country:US
Mailing Address - Phone:917-530-8963
Mailing Address - Fax:
Practice Address - Street 1:2218 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-4950
Practice Address - Country:US
Practice Address - Phone:917-530-8963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula