Provider Demographics
NPI:1558347955
Name:DALY, VIRGINIA CARROLL (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:CARROLL
Last Name:DALY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-4603
Practice Address - Street 1:210 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2901
Practice Address - Country:US
Practice Address - Phone:914-682-0732
Practice Address - Fax:914-682-4603
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193306207V00000X
CT031569207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133884168OtherPOMCO
NY000000045887OtherGHI HMO
NY01936676Medicaid
NY133884168OtherBEECH STREET
NY1884823OtherUNITED HEALTH CARE
NY4054645-002OtherCIGNA (SPEC)
NYOD1358/3C1292OtherHEALTH NET
NYP1240115OtherOXFORD
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY2151308OtherAETNA HMO
NY51G161OtherBLUE CROSS
NY0299318OtherGHI PPO
NY193306-8WOtherWORKERS COMPENSATION
NY133884168OtherMULTIPLAN
NY509440OtherPHCS
NY160047440OtherRAILROAD MEDICARE
NY5895732OtherAETNA NON HMO
NY160047440OtherRAILROAD MEDICARE
NY2151308OtherAETNA HMO
NY1884823OtherUNITED HEALTH CARE