Individual
DR. DANIEL ERIC TELLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2236 RIDGE RD W, ROCHESTER, NY 14626-2804
(585) 225-2290
(585) 225-1367
Mailing address
2236 RIDGE RD W, ROCHESTER, NY 14626-2804
(585) 225-2290
(585) 225-1367
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
006090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02648144
—
NY
Enumeration date
01/10/2007
Last updated
11/21/2007
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