Bagdonas, Richard Albin

Bagdonas, Richard Albin is an sole proprietor health care provider with primary practice located at 300 Community Dr 1 Dsu, Manhasset NY 11030-3816. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Bagdonas, Richard Albin can be contacted via phone (516) 562-4970.

Contact Information

Primary practice address
300 Community Dr 1 Dsu Manhasset NY 11030-3816
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 158539 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 158539 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 458539 New York

Profile Details

NPI number 1790752764
LBN Legal business name Bagdonas, Richard Albin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Dec 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790752764 NPPES
New York MEDICAID 01233307

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