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Individual

DR. DANIEL EUGENE GODFREY

Active
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Individual

DR. DANIEL EUGENE GODFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC005771
PA
213ES0131X
Foot Surgery Podiatrist
N006304-1
NY
213ES0131X
Foot Surgery Podiatrist
N006304-2
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P020106304
EXCELLUS BLUE CROSS BLUE SHIELD
NY
Enumeration date
06/20/2007
Last updated
10/09/2020
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