Individual
DR. DANIAL DANESHVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
305 SEGUINE AVE, STATEN ISLAND, NY 10309-3709
(718) 605-5000
(718) 605-5004
Mailing address
305 SEGUINE AVE, STATEN ISLAND, NY 10309-3709
(718) 605-5000
(718) 605-5004
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
303928-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/28/2016
Last updated
02/09/2024
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