Individual provider · Type 1 NPI
Theodore Raymond Dage, ACPNP, DNP
Critical Care Pediatric Nurse Practitioner · Middletown, NY
NPI number
1205344868
Active
Practice location
707 E Main St
Middletown, NY 10940-2650
Other practice locations
- 217 Pine Island Tpke, Warwick, NY 10990-2514 · (716) 790-3069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 382855 (NY) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1205344868
Theodore Raymond Dage, ACPNP, DNP's National Provider Identifier is 1205344868, issued on Jan 17, 2018. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Middletown, NY. The record was last updated on Jul 13, 2022.