Provider Demographics
NPI:1215689377
Name:URBANSKI, DANIEL JAMES (PA-C)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:JAMES
Last Name:URBANSKI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:321 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11741-5804
Mailing Address - Country:US
Mailing Address - Phone:631-882-3070
Mailing Address - Fax:
Practice Address - Street 1:32 CEDAR AVENUE EXT
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-4616
Practice Address - Country:US
Practice Address - Phone:516-625-1014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant