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Individual

MR. DANIEL WAYNE MINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
636 WANTAGH AVE, LEVITTOWN, NY 11756-5325
(516) 520-7750
(516) 520-1052
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3131

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
134549
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01834468
NY
Enumeration date
01/17/2007
Last updated
11/12/2009
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