Root, Daniel Timothy

Root, Daniel Timothy is an sole proprietor health care provider with primary practice located at 7785 N State St Suite 330, Lowville NY 13367-1229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Root, Daniel Timothy can be contacted via phone (315) 376-5287.

Contact Information

Primary practice address
7785 N State St Suite 330 Lowville NY 13367-1229
Fax: (315) 376-3228
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1649401 New York

Profile Details

NPI number 1376533356
LBN Legal business name Root, Daniel Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated Jan 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376533356 NPPES
New York MEDICAID 01178945

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