DANIELA FANTO (NPI# 1861888018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 294905 | NY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
610 W 158th St, New York, NY 100327104 | 2125441860 |
Street Address |
30 BROAD ST FL 45 |
City | NEW YORK |
State | NY |
Zip Code | 10004-2942 |
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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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 Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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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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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.