Healthcare Provider Details

I. General information

NPI: 1568524411
Provider Name (Legal Business Name): DALE E CAIVANO SAGLIMBENE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

549 OLD COUNTRY ROAD
PLAINVIEW NY
11803
US

IV. Provider business mailing address

549 OLD COUNTRY ROAD
PLAINVIEW NY
11803
US

V. Phone/Fax

Practice location:
  • Phone: 516-932-4406
  • Fax: 516-932-4408
Mailing address:
  • Phone: 516-932-4406
  • Fax: 516-932-4408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1753001
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: