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Organization

DAGAN COSMETIC SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAL DAGAN M.D. (DOCTOR)
(212) 585-3242
Entity
Organization

Contact information

Practice address
5 E 83RD ST, GROUNDFLOOR, NEW YORK, NY 10028-0401
(212) 585-3242
(212) 585-3266
Mailing address
217 GRAND ST, 6TH FLOOR, NEW YORK, NY 10013-4223
(212) 585-3242
(212) 585-3266

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
236976
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013997980
NPI INDIVIDUAL #
01
8M0351
PTAN
Enumeration date
02/10/2009
Last updated
01/12/2010
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