Provider Demographics
NPI:1689888091
Name:PASTOR, DANIELLE MARIE (DO, PHD)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIE
Last Name:PASTOR
Suffix:
Gender:F
Credentials:DO, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-502-2037
Mailing Address - Fax:410-500-4266
Practice Address - Street 1:113 HOLLAND AVENUE, MC112
Practice Address - Street 2:ALBANY STRATTON VA MEDICAL CENTER
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-626-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN56400208600000X
MDH0104104207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery