Provider Demographics
NPI:1235157215
Name:CASPER, DANIEL SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:SCOTT
Last Name:CASPER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1150 SAINT NICHOLAS AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3822
Mailing Address - Country:US
Mailing Address - Phone:212-851-5494
Mailing Address - Fax:212-851-5485
Practice Address - Street 1:1150 ST NICHOLAS AVE
Practice Address - Street 2:2ND FL
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10032-3822
Practice Address - Country:US
Practice Address - Phone:212-851-5494
Practice Address - Fax:212-851-5493
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2018-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY168231-1207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01201234Medicaid
NY56F281Medicare ID - Type Unspecified
NYE51318Medicare UPIN