Eagle, David A

Eagle, David A is an sole proprietor health care provider with primary practice located at 365 E Main St , Patchogue NY 11772-3145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Eagle, David A can be contacted via phone (631) 751-3000.

Contact Information

Primary practice address
365 E Main St Patchogue NY 11772-3145
Phone: (631) 751-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 200000208 North Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 312864 New York

Profile Details

NPI number 1134124910
LBN Legal business name Eagle, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated May 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134124910 NPPES
Other 10907 BCBS

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