Individual
BRIAN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 TAUGHANNOCK BLVD, ITHACA, NY 14850-3251
(607) 252-3580
Mailing address
310 TAUGHANNOCK BLVD, ITHACA, NY 14850-3251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35992
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
276592
NY
2080S0010X
Pediatric Sports Medicine Physician
ME138351
FL
Other
Enumeration date
04/03/2010
Last updated
06/09/2026
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