Individual ProviderDianna DanielStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1901 First Ave. 12a1, New York, NY 10029(212) 423-6049PECOS EnrollmentBased on the most recent information from CMS, provider Dianna Daniel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1124821491Provider TypeIndividualFull NameDaniel, DiannaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/31/2025Last Updated3/31/2025Contact InformationPractice LocationPractice Address1901 First Ave. 12a1, New York, NY 10029Phone(212) 423-6049FaxUnlisted FaxMailing LocationMailing Address1901 First Ave. 12a1, New York, NY 10029Phone(212) 423-6049FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer