Individual
RICHARD ALBIN BAGDONAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, 1 DSU, MANHASSET, NY 11030-3816
(516) 562-4970
Mailing address
300 COMMUNITY DR, 1 DSU, MANHASSET, NY 11030-3816
(516) 562-4970
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
458539
NY
208600000X
Surgery Physician
158539
NY
2086S0102X
Surgical Critical Care Physician
Primary
158539
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01233307
—
NY
Enumeration date
03/08/2006
Last updated
12/04/2014
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