Provider Demographics
NPI:1750668521
Name:SUHAIL S. DAYE, M.D., GENERAL SURGERY, PLLC
Entity Type:Organization
Organization Name:SUHAIL S. DAYE, M.D., GENERAL SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUHAIL
Authorized Official - Middle Name:SAMI
Authorized Official - Last Name:DAYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-769-2087
Mailing Address - Street 1:10 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:MASSENA
Mailing Address - State:NY
Mailing Address - Zip Code:13662-1019
Mailing Address - Country:US
Mailing Address - Phone:315-769-2087
Mailing Address - Fax:315-769-4452
Practice Address - Street 1:10 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-1019
Practice Address - Country:US
Practice Address - Phone:315-769-2087
Practice Address - Fax:315-769-4452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192374-1208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03412842Medicaid
NYJ100061108OtherMEDICARE GROUP PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
NYJ100061108OtherMEDICARE GROUP PROVIDER TRANSACTION ACCESS NUMBER (PTAN)