Basic Information
| Provider Information | |||||||||
| NPI: | 1104158393 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAGLIAN | ||||||||
| FirstName: | DENA | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3003 NEW HYDE PARK RD | ||||||||
| Address2: | SUITE 303 | ||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110421206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5163260707 | ||||||||
| FaxNumber: | 5163261101 | ||||||||
| Practice Location | |||||||||
| Address1: | 3003 NEW HYDE PARK RD | ||||||||
| Address2: | SUITE 303 | ||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 110421206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5163260707 | ||||||||
| FaxNumber: | 5163261101 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2010 | ||||||||
| LastUpdateDate: | 05/24/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 261911 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | 261911 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | 261911 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.