MEDICARE: TROY ALEXANDER DARGAN

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	225700000X	Massage Therapist	034074	NY

General Provider Information

NPI Number	:	1609703800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TROY ALEXANDER DARGAN

Provider Business Mailing Address
First Line	:	155 HAWTHORNE AVE APT 267
Second Line	:
City	:	CENTRAL ISLIP
State	:	NY
Zip	:	11722-5127
Country	:	US
Telephone Number	:	631-450-2134
Fax Number	:

Provider Business Practice Location Address
First Line	:	876 SUNRISE HWY STE 35
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-5908
Country	:	US
Telephone Number	:	631-450-2134
Fax Number	:

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ TROY ALEXANDER DARGAN ” Practice Location

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