Provider Demographics
NPI:1932116621
Name:CAGIN, NORMAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:A
Last Name:CAGIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W 70 ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-724-4704
Mailing Address - Fax:212-873-8337
Practice Address - Street 1:315 W 70 ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-724-4704
Practice Address - Fax:212-873-8337
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101519207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WER011Medicare ID - Type Unspecified
B17455Medicare UPIN