Individual
RICHARD J DAGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 NORTHERN BLVD, STE 300, GREAT NECK, NY 11021
(516) 627-8717
(516) 365-1634
Mailing address
600 NORTHERN BLVD, STE 300, GREAT NECK, NY 11021
(516) 627-8717
(516) 365-1634
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
157112
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26E233
BCBS
NY
01
—
AS472
OXFORD
NY
Enumeration date
07/07/2006
Last updated
10/18/2013
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