Phelan, Daniel T

Phelan, Daniel T is an individual health care provider with primary practice located at 1367 Washington Ave Suite 200, Albany NY 12206-1043. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Phelan, Daniel T can be contacted via phone (518) 489-2666.

Contact Information

Primary practice address
1367 Washington Ave Suite 200 Albany NY 12206-1043
Phone: (518) 489-2666
Fax: (518) 489-5933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 219592-3 New York
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 219592-3 New York

Profile Details

NPI number 1518056324
LBN Legal business name Phelan, Daniel T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Feb 25th, 2008 - about 16 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 1518056324 NPPES
New York Other 10086280 CDPHP
New York MEDICAID 02563266 CDPHP
New York Other 000416120001 CDPHP
New York Other 371186 CDPHP
New York Other 7667619 CDPHP
New York Other 580F71 CDPHP

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