Provider Demographics
NPI:1851618805
Name:MCCANN, DANIEL J (RPH)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:MCCANN
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 1:4 ELEANOR LN
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-6214
Mailing Address - Country:US
Mailing Address - Phone:516-433-7673
Mailing Address - Fax:
Practice Address - Street 1:82 GLEN COVE RD STE 14
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1039
Practice Address - Country:US
Practice Address - Phone:516-801-4413
Practice Address - Fax:516-801-4416
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043866183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist