Individual
MADHU S DAGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
944 N BROADWAY, STE 108, YONKERS, NY 10701-1315
(914) 476-1322
(914) 476-1346
Mailing address
944 N BROADWAY STE 108, YONKERS, NY 10701-1315
(914) 476-1322
(914) 476-1346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
139897
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00437747
—
NY
01
—
971751
EMPIRE BLUE CROSS AND BLUE SHIELD
NY
01
—
971751
EMPIRE BLUE CROSS AND BLUE SHIELD
—
Enumeration date
02/27/2007
Last updated
10/31/2019
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