MEDICARE: DR. DANIEL EIRAS M.D.

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	207RI0200X	Infectious Disease Physician	260310	NY

General Provider Information

NPI Number	:	1518194216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL EIRAS M.D.

Provider Business Mailing Address
First Line	:	283 E 5TH ST APT A3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-2422
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1218 PROSPECT PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-2211
Country	:	US
Telephone Number	:	718-953-8208
Fax Number	:

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

Provider Enumeration Date	:	06/19/2009
Last Update Date	:	03/04/2019

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