Free National NPI Number Registry
David Jonathan Dagate
Home > David Jonathan Dagate
NPI Number Detailed Information
Provider Information:
| Name: | David Jonathan Dagate |
| Gender: | M |
| Provider License Number If Given: | 224912-1 |
NPI Information:
| NPI: | 1790784395 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 4/17/2008 |
Provider Business Mailing Address:
| Address: | 260 MIDDLE COUNTRY RD SUITE 214 Smithtown, NY 11787 |
| Phone Number: | 6312655050 |
| Fax Number: | 6312653304 |
Provider Business Practice Location Address:
| Address: | 260 MIDDLE COUNTRY RD SUITE 214 Smithtown, NY 11787 |
| Phone Number: | 6312655050 |
| Fax Number: | 6312653304 |
Provider Taxonomy:
| Primary: | 174400000X |
| Secondary (if any): | |
| State: | NY |
