Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N002755-1 | NY |
N | 222Z00000X | Podiatrist | N002755-1 | NY |
N | 213EP1101X | Primary Podiatric Medicine | N002755-1 | NY |
N | 2081S0010X | Sports Medicine | N002755-1 | NY |
N | 213ES0000X | Sports Medicine | N002755-1 | NY |
N | 213ES0131X | Foot Surgery | N002755-1 | NY |
NPI | 1588663488 |
---|---|
Provider Name | Dr. Daniel W Merk |
First Address | Hamburg, NY 14075-4915 |
Second Address | Hamburg, NY 14075-4915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010257003 | UNIVERA PIN# (01) | NY |
000507419005 | BLUE CROSS & BLUE SHEILD (01) | NY |
00859687 | (05) | NY |