Provider Demographics
NPI:1700863123
Name:GALYON, DANIEL D (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:D
Last Name:GALYON
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 1:60 FOELLNER LN
Mailing Address - Street 2:
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942-9604
Mailing Address - Country:US
Mailing Address - Phone:607-237-6841
Mailing Address - Fax:
Practice Address - Street 1:60 FOELLNER LN
Practice Address - Street 2:
Practice Address - City:OTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18942-9604
Practice Address - Country:US
Practice Address - Phone:607-237-6841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD479837207T00000X
NY171340207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01137842Medicaid
NY34664FMedicare PIN
NYE15618Medicare UPIN