Dagan, Tal

Dagan, Tal is an sole proprietor health care provider with primary practice located at 420 Madison Ave Suite 503, New York NY 10017-1107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Dagan, Tal can be contacted via phone (212) 585-3242.

Contact Information

Primary practice address
420 Madison Ave Suite 503 New York NY 10017-1107
Phone: (212) 585-3242
Fax: (866) 401-0389
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 236976 New York
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 236976 New York

Profile Details

NPI number 1013997980
LBN Legal business name Dagan, Tal
Credentials MD FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Aug 24th, 2020 - about 5 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 1013997980 NPPES
New York MEDICAID 02807023

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