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MR. DANIEL DAVIES DPM

>> Podiatrist >> Podiatric Medicine & Surgery Service Providers

Registrant NPI Number: 1598766206

Individual Registrant:
MR. DANIEL  DAVIES DPM
Gender: M
Sole Proprietor

Location and contact information for practice:
252 E MAIN ST  EAST ISLIP, NY 11730-2722 US
Tel: 631-581-8828  Fax: 631-581-0545

Contact information for business:
252 E MAIN ST  EAST ISLIP, NY 11730-2722 US
Tel: 631-581-8828  Fax: 631-581-0545

Registration Information:
NPI: 1598766206
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213E00000XPodiatric Medicine & Surgery Service Providers
Podiatrist
NYN004378

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
011089388NY05
DMERC NPI1003082884NY01
ORGANIZATION-DMERC1487963880NY01
PTANP49711NY01




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