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NPI Code Detail

MEDICARE: DJ PURCELL MD P.C.

MEDICARE: DJ PURCELL MD P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1790512192
Entity Type Code : Organization
Provider Name (Legal Business Name) : DJ PURCELL MD P.C.
Provider Business Mailing Address
First Line : 1061 ESPLANADE
Second Line :
City : PELHAM
State : NY
Zip : 10803-2905
Country : US
Telephone Number : 646-319-4783
Fax Number :
Provider Business Practice Location Address
First Line : 252 MAIN ST
Second Line :
City : BEACON
State : NY
Zip : 12508-2734
Country : US
Telephone Number : 845-573-2273
Fax Number : 845-573-2323
Authorized Official
Title or Position : OWNER
Name : DR. DANIEL JOSEPH PURCELL
Credential : MD
Telephone Number : 646-319-4783
Provider Enumeration Date : 09/18/2024
Last Update Date : 04/20/2026

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