Provider Demographics
NPI:1043213309
Name:FIRSHEIN, DANIEL B (DPM)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:FIRSHEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CHRISTOPHER ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3518
Mailing Address - Country:US
Mailing Address - Phone:212-242-7718
Mailing Address - Fax:
Practice Address - Street 1:7 CHRISTOPHER ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3518
Practice Address - Country:US
Practice Address - Phone:212-242-7718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2007-12-20
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-24
Provider Licenses
StateLicense IDTaxonomies
NYN002939213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00417978Medicaid
NYP32221Medicare PIN
T50915Medicare UPIN
NY00417978Medicaid