Individual
DANIEL J JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
Mailing address
539 WALL ST, DIAMOND POINT, NY 12824-2513
(518) 668-2450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015059-1
NY
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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