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Contact Information

ALEXANDER B DAGUM, MD
999 FRANKLIN AVE
GARDEN CITY, NY11530-2913
 Phone: 631-742-3404
 Fax: 516-742-4716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ALEXANDER B DAGUM · (Male)

NPI Number 1487673091
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2006
Last updated 04/28/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 230546
  • NY Medicaid 02112870
  • NY Other 7863214 AETNA
  • NY Other 43L481 EMPIRE BC.BS
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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