Healthcare Provider Details

I. General information

NPI: 1750253019
Provider Name (Legal Business Name): DANIEL PIERCE RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 NEW SCOTLAND AVE
ALBANY NY
12208-3412
US

IV. Provider business mailing address

981 THAYER RD
PATTERSONVILLE NY
12137-4301
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-4000
  • Fax:
Mailing address:
  • Phone: 518-707-6925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number772242
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WF0300X
TaxonomyFlight Registered Nurse
License Number772242
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number772242
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: