Provider Demographics
NPI:1982639670
Name:DRAGONE, JAMES A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:DRAGONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9 BROOKSITE DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-3400
Mailing Address - Country:US
Mailing Address - Phone:631-724-1331
Mailing Address - Fax:631-360-5646
Practice Address - Street 1:9 BROOKSITE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-3400
Practice Address - Country:US
Practice Address - Phone:631-724-1331
Practice Address - Fax:631-360-5646
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY167033207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00972303Medicaid
NY81D661Medicare ID - Type Unspecified
NY00972303Medicaid