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NPI Code Detail

MEDICARE: DANILO A ENRIQUEZ M.D.

MEDICARE: DANILO A ENRIQUEZ 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
1207RP1001XPulmonary Disease Physician200191NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619947066
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANILO A ENRIQUEZ M.D.
Provider Business Mailing Address
First Line : 40 SUFFOLK PL
Second Line :
City : DEER PARK
State : NY
Zip : 11729-3032
Country : US
Telephone Number : 631-940-1120
Fax Number : 631-940-3109
Provider Business Practice Location Address
First Line : 1545 ATLANTIC AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11213-1122
Country : US
Telephone Number : 631-940-1120
Fax Number : 631-940-3109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 10/27/2021

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Directions to “ DANILO A ENRIQUEZ M.D.” Practice Location

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