Provider Demographics
NPI:1902956436
Name:CAIOLA, DANIEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:CAIOLA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2236 RIDGE RD W
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-2804
Mailing Address - Country:US
Mailing Address - Phone:585-225-2290
Mailing Address - Fax:585-225-1367
Practice Address - Street 1:2236 RIDGE RD W
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-2804
Practice Address - Country:US
Practice Address - Phone:585-225-2290
Practice Address - Fax:585-225-1367
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003221213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00639556Medicaid
NC0503470003Medicare NSC
16336DMedicare ID - Type Unspecified
NYT26136Medicare UPIN