Provider Demographics
NPI:1942293170
Name:ZANGER, DANIEL (MD)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:ZANGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1262 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5102
Mailing Address - Country:US
Mailing Address - Phone:718-859-5843
Mailing Address - Fax:718-859-6284
Practice Address - Street 1:1262 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5102
Practice Address - Country:US
Practice Address - Phone:718-859-5843
Practice Address - Fax:718-859-6284
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179671207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
179671C15OtherHEALTH FIRST
20677OtherELDERPLAN
NY39H09EE1G1OtherJAGER GROUP, MEDICARE
39H091OtherEMPIRE HEALTH CHOICE
1159543OtherUNITED HEALTHCARE
1796711OtherHIP
2321883OtherAETNA
NY01402015Medicaid
09Y01S802OtherHEALTH PLUS
6863437004OtherCIGNA
OC9034OtherHEALTH NET
NY39H09EE1G1OtherJAGER GROUP, MEDICARE
F49056Medicare UPIN