Nam, Daniel

Nam, Daniel is an individual health care provider with primary practice located at 160 E Main St , Port Jervis NY 12771-2114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Nam, Daniel can be contacted via phone (845) 858-7000.

Contact Information

Primary practice address
160 E Main St Port Jervis NY 12771-2114
Phone: (845) 858-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07999200 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD432587 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 306510 New York

Profile Details

NPI number 1003850413
LBN Legal business name Nam, Daniel
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003850413 NPPES
Pennsylvania MEDICAID 1020277300003
Pennsylvania MEDICAID 1020277300001
Pennsylvania MEDICAID 1020277300002
Pennsylvania Other 3432839000
Pennsylvania Other 2089031

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