Individual
DR. GENNARO DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 S MANNING BLVD, SUITE 310, ALBANY, NY 12208-1742
(518) 438-2776
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
182046
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
182046
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01242951
—
NY
Enumeration date
01/17/2007
Last updated
05/10/2021
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