MEDICARE: JENCY M DANIEL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0208X	Pediatric Infectious Diseases Physician	324797	NY

General Provider Information

NPI Number	:	1043746043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENCY M DANIEL MD

Provider Business Mailing Address
First Line	:	22 NEW SCOTLAND AVE # MC-88
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-3795
Country	:	US
Telephone Number	:	518-262-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 NEW SCOTLAND AVE # MC-88
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12208-3795
Country	:	US
Telephone Number	:	518-262-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	04/13/2025

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