MEDICARE: DR. DAJUN SONG 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	207L00000X	Anesthesiology Physician	247579	NY

General Provider Information

NPI Number	:	1902088602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAJUN SONG M.D.

Provider Business Mailing Address
First Line	:	3998 FAIR RIDGE DR
Second Line	:	STE 300
City	:	FAIRFAX
State	:	VA
Zip	:	22033-2921
Country	:	US
Telephone Number	:	703-295-9360
Fax Number	:	703-766-9725

Provider Business Practice Location Address
First Line	:	95 GRASSLANDS RD
Second Line	:	MACY PAVILION, RM 2389
City	:	VALHALLA
State	:	NY
Zip	:	10595-1652
Country	:	US
Telephone Number	:	703-295-9360
Fax Number	:	703-766-9725

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

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	11/25/2014

Similar Medicare Providers

1740283233 — DR. THEODORE RAFAEL M.D.
Practice Location Address:

95 GRASSLANDS RD , WESTCHESTER MEDICAL CENTER - DEPT OF RADIOLOGY
VALHALLA, NY
10595-1652

Practice Phone: 914-493-8881
Practice Fax:

1184621047 — GREGORY H ADKISSON MD
Practice Location Address:

95 GRASSLANDS RD
VALHALLA, NY
10595-1652

Practice Phone: 914-493-7857
Practice Fax: 914-493-8439

1679501167 — JOSEPH M LOMBARDO MD
Practice Location Address:

95 GRASSLANDS RD
VALHALLA, NY
10595-1652

Practice Phone: 914-493-7389
Practice Fax:

1750301305 — WEI-NCHIH LEE MD
Practice Location Address:

95 GRASSLANDS RD , DEPT OF MEDICINE-MUNGER PAVILION
VALHALLA, NY
10595-1652

Practice Phone: 914-493-8370
Practice Fax: 914-594-4434

1427060136 — SHIRLY FRIEDMAN MD
Practice Location Address:

95 GRASSLANDS RD
VALHALLA, NY
10595-1652

Practice Phone: 845-493-7857
Practice Fax: 845-493-8439

1912004854 — BRADHURST PHARMACY INC
Practice Location Address:

95 GRASSLANDS RD , 1ST FLR STE 140A
VALHALLA, NY
10595-1652

Practice Phone: 914-345-3838
Practice Fax: 914-345-3840

1699847756 — MR. LARRY TORRISI LCSW
Practice Location Address:

95 GRASSLANDS RD , ROOM#N326
VALHALLA, NY
10595-1652

Practice Phone: 914-493-7546
Practice Fax: 914-493-1015

Directions to “ DR. DAJUN SONG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.