Organization
DANIEL T ROOT, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU MEISS (OFFICE MGR)
(315) 376-5269
Entity
Organization
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
(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
—
01178936
—
NY
05
—
01178945
—
NY
Enumeration date
10/22/2007
Last updated
10/23/2007
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