Dagum, Alexander B

Dagum, Alexander B is an individual health care provider with primary practice located at 24 Research Way , East Setauket NY 11733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Dagum, Alexander B can be contacted via phone (631) 444-4666.

Contact Information

Primary practice address
24 Research Way East Setauket NY 11733
Phone: (631) 444-4666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 230546 New York

Profile Details

NPI number 1487673091
LBN Legal business name Dagum, Alexander B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1487673091 NPPES
New York Other 43L481 EMPIRE BC.BS
New York MEDICAID 02112870 EMPIRE BC.BS
New York Other 7863214 EMPIRE BC.BS

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