Individual
DR. DANIEL TIMOTHY ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7785 N STATE ST, SUITE 330, LOWVILLE, NY 13367-1229
(315) 376-5287
(315) 376-3228
Mailing address
7785 N STATE ST, SUITE 330, LOWVILLE, NY 13367-1229
(315) 376-5287
(315) 376-3228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1649401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01178945
—
NY
Enumeration date
10/21/2005
Last updated
01/18/2013
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