Provider Demographics
NPI:1902161680
Name:VERNIKOV, DANIEL (MS ED)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:VERNIKOV
Suffix:
Gender:M
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 OCEAN CT
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-6045
Mailing Address - Country:US
Mailing Address - Phone:646-637-8001
Mailing Address - Fax:
Practice Address - Street 1:11 OCEAN CT
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-6045
Practice Address - Country:US
Practice Address - Phone:646-637-8001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist