Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 235602 | NY |
Y | 207RP1001X | Pulmonary Disease | 235602 | NY |
NPI | 1063485969 |
---|---|
Provider Name | Dr. Daniel Colin Massiah |
First Address | Riverhead, NY 11901-2735 |
Second Address | Riverhead, NY 11901-2735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 18/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12388304 | MULTIPLAN (01) | NY |
1861894 | CIGNA (01) | NY |
235602-0W | WORKER'S COMPENSATION (01) | NY |
8V044 | BCBS (01) | NY |
8V2021 | BCBS (01) | NY |
I30251 | (02) | NY |
P00260961 | RAILROAD MEDICARE (01) | NY |