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Organization
INDRA D. DANIELS PHYSICIAN PLLC
Active
Organization
INDRA D. DANIELS PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INDRA D. DANIELS PHYSICIAN PLLC (OWNER)
(516) 255-4200
Entity
Organization
Contact information
Practice address
2000 N. VILLAGE AVE SUITE 314, ROCKVILLE CENTRE, NY 11570
(516) 255-4200
(516) 594-2623
Mailing address
1315 BROADWAY UNIT B SUITE 120, HEWLETT, NY 11557
(516) 255-4200
(516) 594-2623
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
187876
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01851367
—
NY
Enumeration date
04/19/2007
Last updated
10/22/2007
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