National Provider Identifier

Danielle Elizabeth Faivus Ackley, MD

Danielle Elizabeth Faivus Ackley, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-4174.

NPI 1497310437Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1497310437
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 06, 2019
Last Updated
May 06, 2019

Practice Location

  • 601 Elmwood Avenue Box #777R
  • Rochester, NY 14642-0001

Phone: (585) 275-4174

Mailing Address

  • 2257 Connell Ter
  • Baldwinsville, NY 13027-1030

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1497310437
Entity Type
Individual
Last Name
Ackley
First Name
Danielle
Middle Name
Elizabeth Faivus
Name Prefix
Dr.
Credential
MD
Mailing Street Address
2257 Connell Ter
Mailing City
Baldwinsville
Mailing State
NY
Mailing ZIP Code
13027-1030
Mailing Country
US
Mailing Phone
(315) 532-4569
Practice Street Address
601 Elmwood Avenue Box #777R
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-4174
Enumeration Date
May 06, 2019
Last Updated
May 06, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)