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Reethamma Daniel, MD

Pediatrics in West Islip, NY. Individual provider (NPI-1).

NPI number1235164609
StatusActive
Last updated in NPPESFeb 13, 2009

Details

NPI
1235164609
Entity type
Individual (NPI-1)
Name
Reethamma Daniel
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 12, 2006
Last updated
Feb 13, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics173029NYYes

Practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Phone 631-376-3000

Mailing address

Po Box 6010
Hauppauge, NY 11788-9010

Phone 631-232-4000 · Fax 631-851-9225

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