Provider Demographics
NPI:1497709737
Name:CURTIN, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:CURTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2870 STATE ROUTE 21
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14572-9709
Mailing Address - Country:US
Mailing Address - Phone:585-728-2070
Mailing Address - Fax:585-728-9421
Practice Address - Street 1:2870 STATE ROUTE 21
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:NY
Practice Address - Zip Code:14572-9709
Practice Address - Country:US
Practice Address - Phone:585-728-2070
Practice Address - Fax:585-728-9421
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215702-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02174303Medicaid
NYRB1258Medicare PIN
NYH35929Medicare UPIN
NY02174303Medicaid