Provider Demographics
NPI:1215049184
Name:FASS, DANIEL ERIC (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ERIC
Last Name:FASS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2700 WESTCHESTER AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2547
Mailing Address - Country:US
Mailing Address - Phone:914-682-6538
Mailing Address - Fax:914-457-1583
Practice Address - Street 1:1 THEALL RD
Practice Address - Street 2:STE 107
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580
Practice Address - Country:US
Practice Address - Phone:914-848-8950
Practice Address - Fax:914-848-8951
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-10-31
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Provider Licenses
StateLicense IDTaxonomies
NY16119312085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology