Individual
DANIEL ROBERT PILOSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 483-1232
(718) 228-7471
Mailing address
9 BRIARWOOD DR, GLEN COVE, NY 11542-1601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
234595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02732869
—
NY
Enumeration date
10/26/2006
Last updated
03/04/2013
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