Provider Demographics
NPI:1487282950
Name:RUSH, DANIEL BRYAN (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BRYAN
Last Name:RUSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PUTNAM HOSPITAL CENTER
Mailing Address - Street 2:670 STONELEIGH AVENUE
Mailing Address - City:CARMEL HAMLET
Mailing Address - State:NY
Mailing Address - Zip Code:10512
Mailing Address - Country:US
Mailing Address - Phone:845-278-5641
Mailing Address - Fax:
Practice Address - Street 1:PUTNAM HOSPITAL CENTER
Practice Address - Street 2:660 STONRLRIGH AVENUE
Practice Address - City:CARMEL HAMLET
Practice Address - State:NY
Practice Address - Zip Code:10512
Practice Address - Country:US
Practice Address - Phone:845-278-5641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program