Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 001090 | NY |
Y | 207RI0011X | Interventional Cardiology | 001090 | NY |
NPI | 1124105002 |
---|---|
Provider Name | George D. Dangas |
First Address | New York, NY 10032-6500 |
Second Address | New York, NY 10032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 20/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02104552 | (05) | NY |
H12238 | (02) | NY |