Healthcare Provider Details

I. General information

NPI: 1497949028
Provider Name (Legal Business Name): DANIEL E OROZCO D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 06/04/2020
Certification Date: 06/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 OLD COUNTRY RD STE 102
PLAINVIEW NY
11803-4932
US

IV. Provider business mailing address

700 OLD COUNTRY RD STE 102
PLAINVIEW NY
11803-4932
US

V. Phone/Fax

Practice location:
  • Phone: 516-729-3249
  • Fax: 516-796-5487
Mailing address:
  • Phone: 516-729-3249
  • Fax: 167-965-4875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN006237
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: