Individual
DANIEL TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1114 LIBERTY AVE, BROOKLYN, NY 11208-2922
(718) 765-6058
(347) 808-4895
Mailing address
PO BOX 746087, ATLANTA, GA 30374-6087
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
308230
NY
Other
Enumeration date
06/13/2017
Last updated
08/04/2025
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