Individual provider · Type 1 NPI

Daniel Harrison Wolbrom, MD, MPH

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1861955585 Active

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Mailing address

1503 Little Whaleneck Rd
Merrick, NY 11566-1623

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1861955585

Daniel Harrison Wolbrom, MD, MPH's National Provider Identifier is 1861955585, issued on Apr 9, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Apr 9, 2019.