Tellem, Daniel Eric

Tellem, Daniel Eric is an individual health care provider with primary practice located at 2236 Ridge Rd W , Rochester NY 14626-2804. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Tellem, Daniel Eric can be contacted via phone (585) 225-2290.

Contact Information

Primary practice address
2236 Ridge Rd W Rochester NY 14626-2804
Fax: (585) 225-1367
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 006090 New York

Profile Details

NPI number 1588714042
LBN Legal business name Tellem, Daniel Eric
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Nov 21st, 2007 - about 17 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 1588714042 NPPES
New York MEDICAID 02648144

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