Park, Daniel S

Park, Daniel S is an individual health care provider with primary practice located at 668 Park Pl , Elmira NY 14901-2033. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Park, Daniel S can be contacted via phone (607) 734-4582.

Contact Information

Primary practice address
668 Park Pl Elmira NY 14901-2033
Phone: (607) 734-4582
Fax: (607) 734-4596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005567-1 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC005555 Pennsylvania

Profile Details

NPI number 1851314488
LBN Legal business name Park, Daniel S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 17th, 2007 - about 18 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 1851314488 NPPES
New York MEDICAID 02082488

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