DANIELA FANTO


Address: 30 Broad St Fl 45, New York, NY 10004-2942
Phone: 2125300630

DANIELA FANTO (NPI# 1861888018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861888018
Entity Type Individual
Full Name DANIELA FANTO
Practice Address 30 Broad St Fl 45
New York
NY 10004-2942
Mailing Address 129 W 29th St Fl 10
New York
NY 10001-5105
Practice Telephone 2125300630
Practice Fax Number 2128674353
Mailing Telephone 4156586791
Enumeration Date 2015-04-14
Last Update Date 2020-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 294905 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
610 W 158th St, New York, NY 100327104 2125441860

Office Location

Street Address 30 BROAD ST FL 45
City NEW YORK
State NY
Zip Code 10004-2942

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225144702 Holly Martin Martyn Physician Assistant 30 Broad St Fl 45, New York, NY 10004-2942 2006-08-21
1063889541 Mozhgan Erfanian Sabaee Specialist 30 Broad St Fl 45, New York, NY 10004 2015-08-31
1659754638 Katelin Reaney- Perrotti Physician Assistant 30 Broad St Fl 45, New York, NY 10004-2942 2015-07-08
1144627449 Victoria Degregorio Nurse Practitioner 30 Broad St Fl 45, New York, NY 10004 2014-12-02
1285036152 Annie Chan Registered Nurse 30 Broad St Fl 45, New York, NY 10004-2942 2014-09-22
1013318757 Chance Turner Nurse Practitioner 30 Broad St Fl 45, New York, NY 10004 2014-09-12
1144661760 Kimberly Dianne Callender Nurse Practitioner 30 Broad St Fl 45, New York, NY 10004-2942 2013-07-11
1952667560 Isabel Walls Physician Assistant 30 Broad St Fl 45, New York, NY 10004-2942 2012-04-09
1619246071 Erica Ragan Matluck Registered Nurse 30 Broad St Fl 45, New York, NY 10004-2942 2011-12-14
1609144088 De Angela T Minter Physician Assistant 30 Broad St Fl 45, New York, NY 10004-2942 2011-12-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467920405 Doris Virginia Acuna Occupational Therapy Assistant One Whitehall St., 9th Floor, New York, NY 10004 2018-11-07
1942799770 Kylie M Becker Speech-Language Pathologist 7 Beaver St, New York, NY 10004 2018-05-07
1215458708 Louisa Long-hei Chan Registered Nurse 125 Broad St # 3, New York, NY 10004 2017-07-05
1255861449 Melyssa Astorga Dentist 11 Broadway Lbby 5, New York, NY 10004 2017-06-19
1912439381 Lisa Hairston Nurse Practitioner 55 Broad St. 21st Floor, New York, NY 10004 2017-04-03
1487017042 Dana Lynn Zwiebel Dentist 27 Whitehall St Fl 6, New York, NY 10004 2016-03-31
1942549233 Thea Barbara Mccallion Acupuncturist 80 Broad Street, Suite 1401, New York, NY 10004 2013-02-06
1437448073 Steven Lloyd Soignet Internal Medicine 55 Broad St., Suite 1840, New York, NY 10004 2011-04-05
1730478371 James Bernard Dougherty Jr. Internal Medicine 55 Broad Street Suite 1840, Arcus Group, New York, NY 10004 2011-04-05
1114167871 Alexis Pastera Penaflorida Physical Medicine & Rehabilitation 55 Broad Street, Suite #15f Downtown Spine Sports & Orthopedic Rehabili, New York, NY 10004 2009-02-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992319016 Sarah Glaser Family Medicine 30 W 24th St, New York, NY 10010-3207 2020-09-04
1396359642 Marlene Aquino Family Medicine 252 E 4th St Apt 2d, New York, NY 10009-7538 2020-09-03
1164043378 Weber Medical Care Pllc Family Medicine 10 Rutgers St Apt 4l, New York, NY 10002-7167 2020-04-28
1285263806 Dcw Providers, P.a. Family Medicine 394 Broadway 3rd Floor, New York, NY 10013 2020-04-06
1770111429 Live Life Now Health Group Pa Family Medicine 350 7th Ave, New York, NY 10001-5013 2020-03-30
1235762899 121 Medical P.C. Family Medicine 5030 Broadway Ste 818, New York, NY 10034-1670 2020-02-21
1558992206 Juno Medical Practice, Pllc Family Medicine 2119 Frederick Douglass Blvd, New York, NY 10026-2392 2020-01-31
1912567884 Chinatown True Care Medical Pllc Family Medicine 139 Centre St Ste 711, New York, NY 10013-4557 2019-06-13
1295205201 Mary Scanlon-o'kelly Family Medicine 30 West St Apt 2a, New York, NY 10004-3052 2018-12-03
1932691532 Tala Fanek Family Medicine 622 W 168th St Ph 12-1272, New York, NY 10032-3720 2018-05-31
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Competitor

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City NEW YORK
Zip Code 10004

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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