Provider Demographics
NPI:1649709965
Name:VOGELFANG, DAWN
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:VOGELFANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 PINEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-3217
Mailing Address - Country:US
Mailing Address - Phone:631-875-3301
Mailing Address - Fax:
Practice Address - Street 1:235 PINEWOOD AVE
Practice Address - Street 2:
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-3217
Practice Address - Country:US
Practice Address - Phone:631-875-3301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other