Individual
DR. DANIEL MURRAY DIVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 SOUTH DR, GREAT NECK, NY 11021-1960
(516) 487-4803
(516) 487-4919
Mailing address
41 SOUTH DR, GREAT NECK, NY 11021-1960
(516) 487-4803
(516) 487-4919
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0082407
NY
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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