Individual
MR. DANIEL ANTHONY FELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
564 NIAGARA ST, BUFFALO, NY 14201-1108
(716) 882-0366
Mailing address
66 CAMELOT CT, A, BUFFALO, NY 14214-1421
(716) 832-2451
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010025
NY
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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