Individual
DANIEL T PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1367 WASHINGTON AVE, SUITE 200, ALBANY, NY 12206-1043
(518) 489-2666
(518) 489-5933
Mailing address
1367 WASHINGTON AVE STE 200, ALBANY, NY 12206-1043
(518) 489-2666
(518) 489-5933
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
219592-3
NY
207XX0801X
Orthopaedic Trauma Physician
219592-3
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000416120001
BS NENY
NY
05
—
02563266
—
NY
01
—
10086280
CDPHP
NY
01
—
371186
MVP
NY
01
—
580F71
EMPIRE BC
NY
01
—
7667619
AETNA
NY
Enumeration date
10/11/2006
Last updated
11/20/2025
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