Provider Demographics
NPI:1548552821
Name:JOEL DLUGASH MD & VICTOR DLUGASH MD PC
Entity type:Organization
Organization Name:JOEL DLUGASH MD & VICTOR DLUGASH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:DLUGASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-764-7660
Mailing Address - Street 1:165 N VILLAGE AVENUE
Mailing Address - Street 2:115
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3761
Mailing Address - Country:US
Mailing Address - Phone:516-764-7660
Mailing Address - Fax:516-764-7882
Practice Address - Street 1:165 N VILLAGE AVE
Practice Address - Street 2:115
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3761
Practice Address - Country:US
Practice Address - Phone:516-764-7660
Practice Address - Fax:516-764-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126468174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty