Provider Demographics
NPI:1952323339
Name:BIERY, DANIEL L (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:BIERY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:67 KENDALL ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLIFTON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14432-9701
Mailing Address - Country:US
Mailing Address - Phone:315-462-9482
Mailing Address - Fax:315-462-5438
Practice Address - Street 1:4 COULTER RD
Practice Address - Street 2:
Practice Address - City:CLIFTON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14432-1122
Practice Address - Country:US
Practice Address - Phone:315-462-1374
Practice Address - Fax:315-462-6707
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY130331207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00458851Medicaid
NY00458851Medicaid
NY17735BMedicare PIN