National Provider Identifier
Daniella Nicole Siracusa
Daniella Nicole Siracusa is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Brockport, NY and a listed phone number of (585) 637-5303.
Profile Overview
- NPI
- 1407495070
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- December 31, 2019
- Last Updated
- September 16, 2024
Practice Location
- 40 Allen St
- Brockport, NY 14420-2228
Phone: (585) 637-5303
Mailing Address
- 3 Stella Ln
- Spencerport, NY 14559-9798
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1407495070
- Entity Type
- Individual
- Last Name
- Siracusa
- First Name
- Daniella
- Middle Name
- Nicole
- Mailing Street Address
- 3 Stella Ln
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-9798
- Mailing Country
- US
- Mailing Phone
- (585) 317-6380
- Practice Street Address
- 40 Allen St
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2228
- Practice Country
- US
- Practice Phone
- (585) 637-5303
- Enumeration Date
- December 31, 2019
- Last Updated
- September 16, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)