Individual
EDUARD KAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 MOTOR PKWY, ISLANDIA, NY 11749-5262
(631) 963-7700
(631) 232-0147
Mailing address
1 HOLLOW LANE, SUITE 206, LAKE SUCCESS, NY 11042
(516) 931-0041
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
247168
NY
2085R0001X
Radiation Oncology Physician
25MA078049
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049603
—
NJ
05
—
02959942
—
NY
Enumeration date
06/03/2006
Last updated
10/27/2023
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