Doctor Name: | DR. DANIEL EDUARDO KUSNIR |
NPI Number: | 1245354703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A45366 |
Business Practice Address: | 2560 Darwin St Suite 1 Hayward, CA - 945453451 |
Business Phone Number: | 5108870303 |
Business Fax Number: | 5108875703 |
Mailing Address: | 1200 Lakeshore Ave, Apt. 18d OAKLAND |
State: | CA |
Postal Code: | 946061679 |
Phone Number: | 5105246222 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A45366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |