Danielle Cabradillia

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Brooktondale, NY

NPI 1003496126 · NPPES record last updated May 29, 2025

Key facts

NPI
1003496126
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
306 Boiceville Rd
Brooktondale, NY 14817-9551
Phone
(910) 545-9678
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

306 Boiceville Rd
Brooktondale, NY 14817-9551

Mailing address

215 E State St
Ithaca, NY 14850-5547
Phone (910) 545-9678

Other providers in Brooktondale, NY

All providers in Brooktondale, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.