Individual
DR. DANIEL DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
252 E MAIN ST, EAST ISLIP, NY 11730-2722
(631) 581-8828
(631) 581-0545
Mailing address
252 E MAIN ST, EAST ISLIP, NY 11730-2722
(631) 581-8828
(631) 581-0545
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011089388
—
NY
01
—
1003082884
DMERC NPI
NY
01
—
1487963880
ORGANIZATION-DMERC
NY
01
—
P49711
PTAN
NY
Enumeration date
08/03/2005
Last updated
02/28/2022
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