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NPI Code Detail

MEDICARE: MICHAEL E DAILEY MY

MEDICARE:   MICHAEL E DAILEY  MY
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
1174400000XSpecialist201074NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1128609OTHERNYWELLCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
33519210OTHERNYBLUE CROSS
4362374OTHERNYMVP
510000434OTHERNYCDPHP
65350585OTHERNYAETNA
728609OTHERNYGHI HMO
8000406966004OTHERNYBLUE SHIELD
90600376OTHERNYGHI

General Provider Information

NPI Number : 1740266188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL E DAILEY MY
Provider Business Mailing Address
First Line : 123 EVERETT RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-1407
Country : US
Telephone Number : 518-701-2000
Fax Number : 518-701-2020
Provider Business Practice Location Address
First Line : 400 PATROON CREEK BLVD
Second Line : STE 205
City : ALBANY
State : NY
Zip : 12206-5012
Country : US
Telephone Number : 518-482-9111
Fax Number : 518-482-6142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 10/03/2019

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Directions to “ MICHAEL E DAILEY MY” Practice Location

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