Healthcare Provider Details

I. General information

NPI: 1497709737
Provider Name (Legal Business Name): DANIEL CURTIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 10/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2870 STATE ROUTE 21
WAYLAND NY
14572-9709
US

IV. Provider business mailing address

2870 STATE ROUTE 21
WAYLAND NY
14572-9709
US

V. Phone/Fax

Practice location:
  • Phone: 585-728-2070
  • Fax: 585-728-9421
Mailing address:
  • Phone: 585-728-2070
  • Fax: 585-728-9421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number215702-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: