Provider Demographics
NPI:1790961704
Name:STRAUSS, DANIEL BRIAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:BRIAN
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NY
Mailing Address - Zip Code:12542-5310
Mailing Address - Country:US
Mailing Address - Phone:845-236-3693
Mailing Address - Fax:845-236-6601
Practice Address - Street 1:2 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NY
Practice Address - Zip Code:12542-5310
Practice Address - Country:US
Practice Address - Phone:845-236-3693
Practice Address - Fax:845-236-6601
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01636451Medicaid