Organization
DANIEL DAVIES, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A DAVIES DPM (SOLE PROPRIETOR)
(631) 581-8828
Entity
Organization
Contact information
Practice address
252 E MAIN ST, EAST ISLIP, NY 11730-2722
(631) 581-8828
(631) 581-0545
Mailing address
252 E MAIN ST, EAST ISLIP, NY 11730-2722
(631) 581-8828
(631) 581-0545
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N004378
NY
332BC3200X
Customized Equipment (DME)
N004378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01108938-8
—
NY
01
—
1003082884
DMERC
NY
Enumeration date
10/02/2010
Last updated
10/02/2010
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