National Provider Identifier
Corey Garrett Daniels, D.O.
Corey Garrett Daniels, D.O. is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Jamestown, NY and a listed phone number of (716) 664-9731.
Profile Overview
- NPI
- 1184858086
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- May 06, 2009
- Last Updated
- June 24, 2021
Practice Location
- 15 S Main St
- Suite 250
- Jamestown, NY 14701-6626
Phone: (716) 664-9731
Mailing Address
- 601 Dodds Ave
- Chattanooga, TN 37404-3911
Specialties
- Diagnostic Radiology Physician (2085R0202X)
- Diagnostic Radiology Physician (2085R0202X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1184858086
- Entity Type
- Individual
- Last Name
- Daniels
- First Name
- Corey
- Middle Name
- Garrett
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 601 Dodds Ave
- Mailing City
- Chattanooga
- Mailing State
- TN
- Mailing ZIP Code
- 37404-3911
- Mailing Country
- US
- Mailing Phone
- (866) 730-5619
- Mailing Fax
- (423) 698-3622
- Practice Street Address
- 15 S Main St
- Practice Address Line 2
- Suite 250
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6626
- Practice Country
- US
- Practice Phone
- (716) 664-9731
- Practice Fax
- (716) 664-9160
- Enumeration Date
- May 06, 2009
- Last Updated
- June 24, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 24, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X), Diagnostic Radiology Physician (2085R0202X), Student in an Organized Health Care Education/Training Program (390200000X)