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Individual
DR. PRISCILLA K DALE
Active
Individual
DR. PRISCILLA K DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
194016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020007301
UNIVERA
NY
01
—
0003153
GHI
NY
01
—
000523043001
BCBS
NY
05
—
01443250
—
NY
01
—
0145550001
DMERC
NY
01
—
0405756AOA
INDEPENDENT HEALTH
NY
01
—
110076542
RR MEDICARE
NY
01
—
160993858
CHAMPUS
NY
01
—
194016-2
WORKERS COMP
NY
Enumeration date
07/29/2005
Last updated
09/18/2014
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