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NPI Code Detail

MEDICARE: JOHANNA PATRICIA DAILY MD

MEDICARE: JOHANNA PATRICIA DAILY 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
1207RI0200XInfectious Disease Physician255145-1NY

General Provider Information

NPI Number : 1679523187
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHANNA PATRICIA DAILY MD
Provider Business Mailing Address
First Line : 1300 MORRIS PARK AVENUE
Second Line : AECOM PRICE 502
City : BRONX
State : NY
Zip : 10461
Country : US
Telephone Number : 718-678-1176
Fax Number :
Provider Business Practice Location Address
First Line : 1825 EASTCHESTER RD
Second Line : WEILER HOSPITAL
City : BRONX
State : NY
Zip : 10461-2301
Country : US
Telephone Number : 718-678-1176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 04/22/2010

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Directions to “ JOHANNA PATRICIA DAILY MD” Practice Location

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