Provider Demographics
NPI:1932855798
Name:GILBERT, DANIEL ROGER (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ROGER
Last Name:GILBERT
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 E 19TH ST APT 1G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-4424
Mailing Address - Country:US
Mailing Address - Phone:347-598-4759
Mailing Address - Fax:
Practice Address - Street 1:68 E 19TH ST APT 1G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-4424
Practice Address - Country:US
Practice Address - Phone:347-598-4759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048268225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist