Provider Demographics
NPI:1750672119
Name:FIX, DANIEL JONAS (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:JONAS
Last Name:FIX
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COLUMBIA ST STE 390
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-3930
Mailing Address - Country:US
Mailing Address - Phone:848-454-3156
Mailing Address - Fax:
Practice Address - Street 1:1 COLUMBIA ST
Practice Address - Street 2:SUITE 390
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601
Practice Address - Country:US
Practice Address - Phone:845-431-5618
Practice Address - Fax:845-437-3170
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY319797-01207ZP0101X
CT73264207ZP0101X
PAMD453827207ZP0101X
NJ25MA10147800207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology