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Individual
DR. DAVID EBENEZER DAISLEY
Active
Individual
DR. DAVID EBENEZER DAISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R057190-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02385546
—
NY
01
—
057190 N01
HIP
NY
01
—
127123
VYTRA HEALTH PLANS
NY
01
—
1826607
CIGNA
NY
01
—
269983
MHN
NY
01
—
413031
VALUE OPTIONS
NY
01
—
6238574
UBH
NY
01
—
747-9139
GHI
NY
01
—
7797384
AETNA
NY
01
—
IP573503
MAGELLAN
NM
01
—
N5V96
EMPIRE
NY
01
—
NV90706
HEALTH NET
NY
01
—
P1020668
OXFORD
NY
Enumeration date
10/03/2006
Last updated
07/08/2007
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