Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | NOO36601 | NY |
NPI | 1407997695 |
---|---|
Provider Name | Dr. Lawrence Daniel |
First Address | New York, NY 10041-0004 |
Second Address | Brooklyn, NY 11207-2428 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 11/09/2019 |