# TAL DAGAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205150570
- **Authorized official:** DR. TAL DAGAN MD (PRESIDENT)
- **Authorized official phone:** (212) 585-3242

## Contact information

- **Practice address:** 420 MADISON AVE, SUITE 503 AND SUITE 505, NEW YORK, NY 10017-1107
- **Practice address phone:** (212) 585-3242
- **Practice address fax:** (866) 401-0389
- **Mailing address:** 420 MADISON AVE, SUITE 503, NEW YORK, NY 10017-1107
- **Mailing address phone:** (212) 585-3242
- **Mailing address fax:** (866) 401-0389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 236976 | NY | — |
| 207YP0228X | Pediatric Otolaryngology Physician | 236976 | NY | — |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | 236976 | NY | — |
| 207YS0123X | Facial Plastic Surgery Physician | 236976 | NY | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 236976 | NY | — |
| 207YX0602X | Otolaryngic Allergy Physician | 236976 | NY | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 236976 | NY | Yes |

## Other

- **Enumeration date:** 03/16/2010
- **Last updated:** 01/13/2015