Healthcare Provider Details

I. General information

NPI: 1740185842
Provider Name (Legal Business Name): DANIEL OSHEYACK PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 BROADWAY
BROOKLYN NY
11206-5317
US

IV. Provider business mailing address

40 FURNACE FLATS RD
SOUTH STRAFFORD VT
05070-7727
US

V. Phone/Fax

Practice location:
  • Phone: 718-963-8000
  • Fax:
Mailing address:
  • Phone: 802-369-9978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036669
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: