MEDICARE: DR. DORIS DAY MD

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
1	174400000X	Specialist	192672	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	07U671	OTHER	NY	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1851384028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORIS DAY MD

Provider Business Mailing Address
First Line	:	10 E 70TH ST
Second Line	:	1C
City	:	NEW YORK
State	:	NY
Zip	:	10021-4963
Country	:	US
Telephone Number	:	212-772-0740
Fax Number	:	212-937-9856

Provider Business Practice Location Address
First Line	:	10 E 70TH ST
Second Line	:	1C
City	:	NEW YORK
State	:	NY
Zip	:	10021-4963
Country	:	US
Telephone Number	:	212-772-0740
Fax Number	:	212-937-9856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	01/29/2013

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