Individual
DR. DANIEL THOR LAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
1019 NEW LOUDON RD, COHOES, NY 12047-5003
(518) 262-7500
Mailing address
1019 NEW LOUDON RD, COHOES, NY 12047-5003
(518) 262-7500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
280538
NY
208000000X
Pediatrics Physician
280538
NY
Other
Enumeration date
05/06/2011
Last updated
05/25/2021
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