Provider Demographics
NPI:1609540632
Name:CHMURZYNSKI, DANIELLE ROSE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:ROSE
Last Name:CHMURZYNSKI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BINNER RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1216
Mailing Address - Country:US
Mailing Address - Phone:716-598-0318
Mailing Address - Fax:
Practice Address - Street 1:12 BINNER RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1216
Practice Address - Country:US
Practice Address - Phone:716-598-0318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044597225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist