Individual
DR. INDRA D DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-4398
Mailing address
1315 BROADWAY, UNIT B SUITE 120, HEWLETT, NY 11557-2115
(516) 255-4200
(516) 594-2623
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
187876
NY
207RN0300X
Nephrology Physician
187876
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01851367
—
NY
Enumeration date
12/15/2005
Last updated
07/21/2022
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