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Individual

DANIEL SMITH HIGGINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1275 YORK AVE # 22, NEW YORK, NY 10065-6007
(646) 888-3630
Mailing address
1275 YORK AVE # 22, NEW YORK, NY 10065-6007
(646) 888-3630

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
265434
NY
390200000X
Student in an Organized Health Care Education/Training Program
150392
NC

Other

Enumeration date
06/30/2008
Last updated
06/22/2015
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