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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADOE M DANIELS, MPAS, PA-C

Active

SHADOE M DANIELS, MPAS, PA-C is a Medical Physician Assistant healthcare provider located in CALLICOON, New York. NPI 1215596317 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CALLICOON, NY

Registration Details

NPI Number
1215596317
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2019 (7.138152248169 yrs)
Last Updated
Aug 29, 2024
Licenses
024896 (NY)
PAC0965 (ND)
MA060726 (PA)

Practice Information

Address
8881 NY-97
CALLICOON, NY, 12723
Browse NY providers · Browse ZIP 12723
Phone
8453336800
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in CALLICOON, NY

Name Credential NPI
MR. TODD WILLIAM JONES PA-C 1306138797
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.