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NPI Code Detail

MEDICARE: DAG MEDICAL, PC

MEDICARE: DAG MEDICAL, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician247175NY

General Provider Information

NPI Number : 1518292531
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAG MEDICAL, PC
Provider Business Mailing Address
First Line : 2314 BELLMORE AVE
Second Line :
City : BELLMORE
State : NY
Zip : 11710-5627
Country : US
Telephone Number : 516-781-8100
Fax Number : 516-781-8133
Provider Business Practice Location Address
First Line : 3411 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10467-5704
Country : US
Telephone Number : 516-781-8100
Fax Number : 516-781-8133
Authorized Official
Title or Position : OWNER
Name : DR. DAVID A GREUNER
Credential : M.D.
Telephone Number : 516-781-8100
Provider Enumeration Date : 10/08/2009
Last Update Date : 10/08/2009

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