Provider Demographics
NPI:1770645160
Name:KNEF, DANIEL W (PA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:W
Last Name:KNEF
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2868
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-0259
Mailing Address - Country:US
Mailing Address - Phone:518-562-7900
Mailing Address - Fax:518-562-7933
Practice Address - Street 1:159 MARGARET ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1893
Practice Address - Country:US
Practice Address - Phone:518-314-3939
Practice Address - Fax:518-314-3940
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY004297363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY114406OtherVALUE OPTIONS
NY02331193Medicaid
NY141338471OtherFIDELIS
NY141338471OtherEXCELLUS
NY970025048OtherRAILROAD MEDICARE
NYDK04C76510OtherEMPIRE BC
NY141338471OtherAETNA
NY141338471OtherGHI
NY373549OtherMVP
NY000406547005OtherBS OF NENY
NY141338471OtherUNITED HEALTH CARE
NY141338471OtherMARTINS POINT
NY02331193Medicaid
NY114406OtherVALUE OPTIONS