Provider Demographics
NPI:1780649343
Name:GALVIN, DANIEL E (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:E
Last Name:GALVIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1445 PORTLAND AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-3008
Mailing Address - Country:US
Mailing Address - Phone:585-922-4874
Mailing Address - Fax:585-922-3950
Practice Address - Street 1:2201 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1859
Practice Address - Country:US
Practice Address - Phone:516-572-6175
Practice Address - Fax:516-572-5465
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY175996208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F69482Medicare UPIN