MEDICARE: DR. DANIEL SHTRAYKHER D.O.

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	208000000X	Pediatrics Physician	272988	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891082335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL SHTRAYKHER D.O.

Provider Business Mailing Address
First Line	:	1284 E 19TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5404
Country	:	US
Telephone Number	:	646-389-7674
Fax Number	:	718-831-6180

Provider Business Practice Location Address
First Line	:	1284 E 19TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5404
Country	:	US
Telephone Number	:	646-389-7674
Fax Number	:	718-831-6180

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

Provider Enumeration Date	:	07/05/2011
Last Update Date	:	01/23/2026

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