Doctor Name: | DR. DAN ACARU |
NPI Number: | 1669409736 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 141555 |
Business Practice Address: | Guthrie Ambulatory Health Clinic Attn. Jill Goodwin 11050 Mount Belvedere Blvd Fort Drum, NY - 136025004 |
Business Phone Number: | 5163144635 |
Business Fax Number: | |
Mailing Address: | 35 Irving St, BETHPAGE |
State: | NY |
Postal Code: | 117145233 |
Phone Number: | 9175662783 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 141555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |