Basic Information
| Provider Information | |||||||||
| NPI: | 1285697128 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DORSEY | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 304 | ||||||||
| Address2: | |||||||||
| City: | GLENS FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128010304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5189261960 | ||||||||
| FaxNumber: | 5189261965 | ||||||||
| Practice Location | |||||||||
| Address1: | 3050 ROUTE 50 | ||||||||
| Address2: | SARATOGA HOSPITAL ENDOCRINOLOGY | ||||||||
| City: | SARATOGA SPRINGS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128662958 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5188865100 | ||||||||
| FaxNumber: | 5188865880 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2006 | ||||||||
| LastUpdateDate: | 02/24/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | 249770 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
ID Information
| ID | Type | State | Issuer | Description | 03039356 | 05 | NY | MEDICAID | P00651181 | 01 | NY | RR MEDICARE | OTHER |