Dale A. Distant is a Surgery in Brooklyn, New York. Dale A. Distant practices all healthcare services and medical treatments related to Surgery. The NPI Number for Dale A. Distant is 1285612077. The last update date is 2007-07-08.
Dale A. Distant's current location address is 450 Clarkson Ave, Brooklyn, New York. You can contact this provider via phone number 7182708867 and fax number 7182701794. The mailing address for Dale A. Distant is 450 Clarkson Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale A. Distant |
|---|---|
| Address | 450 Clarkson Ave, Brooklyn, New York |
| Phone Number | 7182708867 |
| Fax Number | 7182701794 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285612077 |
|---|---|
| Provider Enumeration Date | 2006-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 450 Clarkson Ave |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112032056 |
| Phone Number | 7182708867 |
| Fax Number | 7182701794 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 190405-1 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1438926 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dale A. Distant by the Centers for Medicare & Medicaid Services?
The Dale A. Distant has been issued the NPI (National Provider Identifier) 1285612077, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Dale A. Distant's facilities are geographically located?
The facilities of Dale A. Distant are physically situated at the following location: 450 Clarkson Ave, Brooklyn, NY, 112032056.
What is the Dale A. Distant's specialty and taxonomy code?
The Dale A. Distant's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285612077 to Dale A. Distant?
The Dale A. Distant received its 1285612077 assignment from the Centers for Medicare & Medicaid Services on 2006-01-03.
When was the information regarding Dale A. Distant most recently updated?
The details pertaining to the Dale A. Distant, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.