Individual
BROCK DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1300 YORK AVE RM M-129, NEW YORK, NY 10065-4805
(212) 746-1090
Mailing address
1300 YORK AVE DEPT RMM-129, NEW YORK, NY 10065-4805
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
052247
CT
Other
Enumeration date
06/07/2010
Last updated
03/17/2018
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