Provider Demographics
NPI:1972878379
Name:MCGOVERN, DANIEL THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:THOMAS
Last Name:MCGOVERN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:140 W 86TH ST APT 15A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4072
Mailing Address - Country:US
Mailing Address - Phone:917-426-6886
Mailing Address - Fax:423-301-8986
Practice Address - Street 1:397 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5292
Practice Address - Country:US
Practice Address - Phone:917-426-6886
Practice Address - Fax:423-301-8986
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2024-04-30
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Provider Licenses
StateLicense IDTaxonomies
NY2826702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry