Healthcare Provider Details

I. General information

NPI: 1598875817
Provider Name (Legal Business Name): GEORGE T. DANAKAS, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

268 MAIN ST
EAST AURORA NY
14052-1637
US

IV. Provider business mailing address

268 MAIN ST
EAST AURORA NY
14052-1637
US

V. Phone/Fax

Practice location:
  • Phone: 716-652-8606
  • Fax: 716-652-4448
Mailing address:
  • Phone: 716-652-8606
  • Fax: 716-652-4448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number157135
License Number StateNY

VIII. Authorized Official

Name: GEORGE T. DANAKAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 716-652-8606