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Organization
DANIEL JERAN D.P.M. P.C.
Active
Organization
DANIEL JERAN D.P.M. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDY RODRIGUEZ (MANAGER)
(631) 979-7654
Entity
Organization
Contact information
Practice address
521 ROUTE 111, SUITE 309, HAUPPAUGE, NY 11788-4370
(631) 979-7654
Mailing address
521 ROUTE 111, SUITE 309, HAUPPAUGE, NY 11788-4370
(631) 979-7654
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004563-1
NY
Other
Enumeration date
02/06/2008
Last updated
05/05/2008
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