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NPI Code Detail

MEDICARE: DR. DANIEL BIRDSONG PHARMD

MEDICARE: DR. DANIEL BIRDSONG PHARMD
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
1183500000XPharmacistPHA.0019912CO

General Provider Information

NPI Number : 1952743296
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL BIRDSONG PHARMD
Provider Business Mailing Address
First Line : 510 W 55TH ST APT 307
Second Line :
City : NEW YORK
State : NY
Zip : 10019-3563
Country : US
Telephone Number : 505-363-3894
Fax Number :
Provider Business Practice Location Address
First Line : 180 W 20TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10011-3649
Country : US
Telephone Number : 212-243-0129
Fax Number : 212-243-2467
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2013
Last Update Date : 09/11/2025

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