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Individual
DANIEL DESPEN
Active
Individual
DANIEL DESPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASST
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001042
NY
363AS0400X
Surgical Physician Assistant
Primary
001042
NY
Other
Enumeration date
04/24/2007
Last updated
09/11/2025
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