# DANIEL JERAN D.P.M. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497933006
- **Authorized official:** CANDY RODRIGUEZ (MANAGER)
- **Authorized official phone:** (631) 979-7654

## Contact information

- **Practice address:** 521 ROUTE 111, SUITE 309, HAUPPAUGE, NY 11788-4370
- **Practice address phone:** (631) 979-7654
- **Mailing address:** 521 ROUTE 111, SUITE 309, HAUPPAUGE, NY 11788-4370
- **Mailing address phone:** (631) 979-7654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N004563-1 | NY | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 05/05/2008