Individual
DARYL ROY EHLENFIELD
Active
Individual
DARYL ROY EHLENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010364108
UNIVERA
NY
01
—
000525174009
COMMUNITY BLUE
NY
05
—
01856573
—
NY
01
—
040426001840
FIDELIS
NY
01
—
1201351
IHA
NY
01
—
144080DL
PREFERRED CARE
NY
Enumeration date
07/14/2005
Last updated
07/20/2026
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