Individual
DANIEL HORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 CHENANGO AVE, CLINTON, NY 13323-1341
(315) 853-5550
(315) 853-5580
Mailing address
34 CHENANGO AVE, CLINTON, NY 13323-1341
(315) 853-5550
(315) 853-5580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216809-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02065112
—
NY
01
—
08015666
RAILROAD MEDICARE
NY
Enumeration date
10/24/2005
Last updated
09/18/2013
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