Individual
DR. BILL W DALOSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
97 POND PATH, LAKE GROVE, NY 11755-1831
(786) 457-4723
Mailing address
97 POND PATH, LAKE GROVE, NY 11755-1831
(786) 457-4723
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
006161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PK9701
EMPIRE BC/BS
NY
Enumeration date
07/14/2006
Last updated
03/07/2024
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