Provider Demographics
NPI:1326224049
Name:DANIEL GRAPEL DPM
Entity Type:Organization
Organization Name:DANIEL GRAPEL DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAPEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-279-9666
Mailing Address - Street 1:21302 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2824
Mailing Address - Country:US
Mailing Address - Phone:718-279-9666
Mailing Address - Fax:718-279-2772
Practice Address - Street 1:21302 42ND AVE
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2824
Practice Address - Country:US
Practice Address - Phone:718-279-9666
Practice Address - Fax:718-279-2772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4406610001Medicare NSC