Provider Demographics
NPI:1831727643
Name:PAPA, DANIEL GREGORY (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:GREGORY
Last Name:PAPA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6 WELLNESS WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2156
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:6 WELLNESS WAY STE 114
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2156
Practice Address - Country:US
Practice Address - Phone:518-785-5881
Practice Address - Fax:518-785-3872
Is Sole Proprietor?:No
Enumeration Date:2020-03-28
Last Update Date:2024-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY324732207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine