Individual
TAL DAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
420 MADISON AVE, SUITE 503, NEW YORK, NY 10017-1107
(212) 585-3242
(866) 401-0389
Mailing address
420 MADISON AVE, SUITE 503, NEW YORK, NY 10017-1107
(212) 585-3242
(866) 401-0389
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
236976
NY
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
236976
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02807023
—
NY
Enumeration date
01/18/2006
Last updated
08/24/2020
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