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General NPI Number Information
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NPI Number | 1255043972
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Entity Type | Organization
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Legal Business Name | DANIEL S MEDICAL PC
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 2361 NOSTRAND AVE # 2
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City | BROOKLYN
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State | NY
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Zip | 11210-3902
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Country | US
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Telephone | 718-703-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 1936 E 23RD ST
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City | BROOKLYN
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State | NY
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Zip | 11229-3618
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Country | US
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Telephone | 718-930-7602
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DANIEL SHTRAYKHER
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Credential | DO
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Telephone | 718-930-7602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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