Provider Demographics
NPI:1144248964
Name:JOKL, DAN H-K (MD)
Entity type:Individual
Prefix:DR
First Name:DAN
Middle Name:H-K
Last Name:JOKL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 STONE PLACE
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708
Mailing Address - Country:US
Mailing Address - Phone:914-337-3524
Mailing Address - Fax:914-337-3524
Practice Address - Street 1:1 STONE PLACE
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708
Practice Address - Country:US
Practice Address - Phone:914-337-3524
Practice Address - Fax:914-337-3524
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY114320207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00209238Medicaid
NYB77880Medicare UPIN
570981Medicare ID - Type Unspecified
B77880Medicare UPIN