Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 243943-1 | NY |
NPI | 1003017047 |
---|---|
Provider Name | Danielle Marie Pesce |
First Address | Fort Hood, TX 76544-5095 |
Second Address | Fort Hood, TX 76544-5095 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 08/07/2007 |