MEDICARE: ALAN J DAYAN M.D.

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
1	207X00000X	Orthopaedic Surgery Physician	194786	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00251094	OTHER	NY	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1588615827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN J DAYAN M.D.

Provider Business Mailing Address
First Line	:	1715 AVENUE T
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3429
Country	:	US
Telephone Number	:	718-232-6348
Fax Number	:

Provider Business Practice Location Address
First Line	:	1715 AVENUE T
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3429
Country	:	US
Telephone Number	:	718-232-6348
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	10/07/2016

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