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Individual

DANIEL J FLAHERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1724 E RIDGE RD, ROCHESTER, NY 14622-2157
(585) 467-7007
(585) 467-7012
Mailing address
1724 E RIDGE RD, ROCHESTER, NY 14622-2157
(585) 467-7007
(585) 467-7012

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
196800
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00020630802
UNIVERA
NY
01
0196411
IHA
NY
01
040426004498
FIDELIS
NY
01
080136736
MEDICARE RAILROAD
NY
01
101534BF
PREFERRED CARE
NY
01
11122397
CAQH
NY
01
3320
SIDNEY HILLMAN
NY
01
P010196800
BLUE CHOICE
NY
Enumeration date
05/03/2006
Last updated
12/29/2009
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