Dage, Theodore Raymond

Dage, Theodore Raymond is an individual health care provider with primary practice located at 707 E Main St , Middletown NY 10940-2650. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as his primary health care specialty. Dage, Theodore Raymond can be contacted via phone (845) 333-1000.

Contact Information

Primary practice address
707 E Main St Middletown NY 10940-2650
Phone: (845) 333-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 382855 New York

Profile Details

NPI number 1205344868
LBN Legal business name Dage, Theodore Raymond
Credentials ACPNP, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2018
Last updated Jul 13th, 2022 - about 2 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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