Dagate, David Jonathan

Dagate, David Jonathan is an individual health care provider with primary practice located at 260 Middle Country Rd Suite 214, Smithtown NY 11787-2982. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dagate, David Jonathan can be contacted via phone (631) 265-5050.

Contact Information

Primary practice address
260 Middle Country Rd Suite 214 Smithtown NY 11787-2982
Phone: (631) 265-5050
Fax: (631) 265-3304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 224912-1 New York

Profile Details

NPI number 1790784395
LBN Legal business name Dagate, David Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Apr 17th, 2008 - about 16 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 1790784395 NPPES
New York MEDICAID 02636226

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