person
Daniel Jeran, DPM
Foot Surgery Podiatrist in Hauppauge, New York
NPI 1780624999

Daniel Jeran is a Foot Surgery Podiatrist based in Hauppauge, NY and is specialized in Foot Surgery. Daniel Jeran practices in Hauppauge, NY and has the professional credentials of DPM. The NPI Number for Daniel Jeran is 1780624999 and holds a License No. N004563-1 (New York).

The current practice location address for Daniel Jeran is 521 Route 111, Hauppauge, NY and can be reached out via phone at 631-979-7654 and via fax at 631-979-4002.

Location: 521 Route 111, Hauppauge, NY, 11788-4370
person
Provider Profile Details
NPI Number
1780624999
Provider Name
Daniel Jeran
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
521 Route 111, Hauppauge, NY, 11788-4370
Phone Number
631-979-7654
Fax Number
631-979-4002
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113102546001 01 NY TRICARE
470624 01 NY USHC
CS641 01 NY OXFORD
003728 01 NM PHS
01635689 05 NY
00456301 01 NY SUFFOLK HEALTH PLAN
0941080001 01 NY MEDICARE DME
P50852 01 NY BCBS
10158 01 NY VYTRA
0021194 01 NY GHI
7720375006 01 NY CIGNA
108845 01 NY 108845
4343388 01 NY AETNA
ANTHEM 01 NY 030004563NY01
institution
Provider Business Practice Location Address Details
Address
521 Route 111
City
State
Zip
11788-4370
Phone Number
631-979-7654
Fax Number
631-979-4002
person
Provider Business Mailing Address Details
Address
521 Route 111
City
State
Zip
11788-4370
Phone Number
631-979-7654
Fax Number
631-979-4002
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
N004563-1 (New York)
Definition
Definition to come...
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