Provider Demographics
NPI:1447808829
Name:TOPOLSKI, DANIEL E (MPT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:E
Last Name:TOPOLSKI
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 SN MAIN STREET
Mailing Address - Street 2:APT 2
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-1900
Mailing Address - Country:US
Mailing Address - Phone:646-660-0318
Mailing Address - Fax:
Practice Address - Street 1:1150 CROSSPOINTE LN STE 3
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2995
Practice Address - Country:US
Practice Address - Phone:585-288-1260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029073225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400607108OtherMEDICARE