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NPI Code Detail

MEDICARE: MR. DANIEL PFEIFER

MEDICARE: MR. DANIEL PFEIFER
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
1363AS0400XSurgical Physician Assistant006976NY
2363A00000XPhysician Assistant006976NY
3363AM0700XMedical Physician Assistant006976NY

General Provider Information

NPI Number : 1245700723
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL PFEIFER
Provider Business Mailing Address
First Line : 2555 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4730
Country : US
Telephone Number : 718-951-8800
Fax Number : 718-336-9505
Provider Business Practice Location Address
First Line : 2555 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4730
Country : US
Telephone Number : 718-951-8800
Fax Number : 718-336-9505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2018
Last Update Date : 01/06/2026

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Directions to “ MR. DANIEL PFEIFER ” Practice Location

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