Provider Demographics
NPI:1316984933
Name:ALEXANDER, DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 LANSING ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1983
Mailing Address - Country:US
Mailing Address - Phone:315-255-7576
Mailing Address - Fax:315-702-8393
Practice Address - Street 1:77 NELSON ST
Practice Address - Street 2:SUITE 120
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1941
Practice Address - Country:US
Practice Address - Phone:315-252-7559
Practice Address - Fax:315-253-8104
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2322051207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02575895Medicaid
100245891101OtherUNITED HEALTHCARE
P00399164OtherRAILROAD MEDICARE
0598531OtherGHI
NY2322055WOtherWORKERS COMPENSATION
145757CUOtherPREFERRED CARE
P010232205OtherBLUE CHOICE
P040232205OtherROCHESTER BLUE SHIELD
P040232205OtherROCHESTER BLUE SHIELD