Provider Demographics
NPI:1548384209
Name:ADLER, DANIEL GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:GEORGE
Last Name:ADLER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:65 CENTRAL PARK W
Mailing Address - Street 2:APT 16G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6007
Mailing Address - Country:US
Mailing Address - Phone:201-894-1551
Mailing Address - Fax:212-504-8100
Practice Address - Street 1:25 ROCKWOOD PL
Practice Address - Street 2:SUITE 110
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4957
Practice Address - Country:US
Practice Address - Phone:201-894-1551
Practice Address - Fax:212-504-8100
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2009-12-05
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Provider Licenses
StateLicense IDTaxonomies
NJ00390022084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC53980Medicare UPIN