Provider Demographics
NPI:1891849220
Name:DANSKY, ROY S (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:S
Last Name:DANSKY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4112
Mailing Address - Country:US
Mailing Address - Phone:410-836-9667
Mailing Address - Fax:410-836-9535
Practice Address - Street 1:824 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4112
Practice Address - Country:US
Practice Address - Phone:410-836-9667
Practice Address - Fax:410-836-9535
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD 1191213E00000X
GA0805213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD264080OtherUNITED HEALTHCARE ID #
MDT439HAOtherBCBS MARYLAND ID #
MD1213040001OtherDME PROVIDER #
MD973 MMedicare PIN
MDU50981Medicare UPIN