Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 244626 | NY |
NPI | 1265678742 |
---|---|
Provider Name | Dr. Kamal D Dagly |
First Address | Huntington, NY 11743-2948 |
Second Address | Huntington, NY 11743-2948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2009 |
Last Update Date | 15/03/2011 |