| Doctor Name: | MR. DANIEL BAUMAN |
| NPI Number: | 1063825966 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 018476 |
| Business Practice Address: | 5958 Route 25a Wading River, NY - 117922001 |
| Business Phone Number: | 6319298200 |
| Business Fax Number: | |
| Mailing Address: | 123 Holiday Blvd, CENTER MORICHES |
| State: | NY |
| Postal Code: | 11934 |
| Phone Number: | 6318349792 |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2014 |
| NPI Last Update Date: | 06/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 018476 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |