Provider Demographics
NPI:1861485781
Name:CARR, DANIEL L (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:CARR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4567 CROSSROADS PARK DR
Mailing Address - Street 2:2ND FL
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-3589
Mailing Address - Country:US
Mailing Address - Phone:315-295-2100
Mailing Address - Fax:315-295-2125
Practice Address - Street 1:2200 E GENESEE ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2253
Practice Address - Country:US
Practice Address - Phone:315-422-9233
Practice Address - Fax:315-422-9234
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2013-02-06
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Provider Licenses
StateLicense IDTaxonomies
NY198155207XS0106X, 207XS0114X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01661843Medicaid
NY01661843Medicaid
NYCC2676Medicare PIN