Provider Demographics
NPI:1922634930
Name:DI CARO, DANIELA
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:DI CARO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 3RD AVE RM 204
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7454
Mailing Address - Country:US
Mailing Address - Phone:212-473-4200
Mailing Address - Fax:212-473-5696
Practice Address - Street 1:247 3RD AVE RM 204
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7454
Practice Address - Country:US
Practice Address - Phone:212-473-4200
Practice Address - Fax:212-473-5696
Is Sole Proprietor?:No
Enumeration Date:2020-03-21
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY321538208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics