Individual
DR. ALEXANDER B DAGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 FRANKLIN AVE, GARDEN CITY, NY 11530-2913
(631) 742-3404
(516) 742-4716
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
230546
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02112870
—
NY
01
—
43L481
EMPIRE BC.BS
NY
01
—
7863214
AETNA
NY
Enumeration date
07/18/2006
Last updated
04/28/2025
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