Provider Demographics
NPI:1730173501
Name:DANBER, MICHAEL MATTHEW (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:MATTHEW
Last Name:DANBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MIRKO
Other - Middle Name:MATIJA
Other - Last Name:DENEBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:227 CLENT RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4906
Mailing Address - Country:US
Mailing Address - Phone:516-487-3774
Mailing Address - Fax:
Practice Address - Street 1:227 CLENT RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4906
Practice Address - Country:US
Practice Address - Phone:516-487-3774
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY096282207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology