Healthcare Provider Details

I. General information

NPI: 1891228466
Provider Name (Legal Business Name): ARIELLA RABIN DAGI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2017
Last Update Date: 03/14/2023
Certification Date: 02/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 E 48TH ST RM 1202
NEW YORK NY
10017-1038
US

IV. Provider business mailing address

525 E 68TH ST BOX 140
NEW YORK NY
10065-4870
US

V. Phone/Fax

Practice location:
  • Phone: 646-992-6700
  • Fax:
Mailing address:
  • Phone: 646-992-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number294698-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: