Provider Demographics
NPI:1578257341
Name:CARASIG, DANA (MD-MRO)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:CARASIG
Suffix:
Gender:F
Credentials:MD-MRO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 UPPER POND CT
Mailing Address - Street 2:
Mailing Address - City:CENTERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11721-1556
Mailing Address - Country:US
Mailing Address - Phone:631-816-7995
Mailing Address - Fax:
Practice Address - Street 1:546 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-4925
Practice Address - Country:US
Practice Address - Phone:800-526-9341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECN-0010018208D00000X
HISAT-2292083T0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083T0002XAllopathic & Osteopathic PhysiciansPreventive MedicineMedical Toxicology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice