Individual provider · Type 1 NPI
Kevin Dahlan, MD
Retina Specialist (Ophthalmology) Physician · Stony Brook, NY
NPI number
1417536343
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Other practice locations
- 240 Meeting House Ln, Southampton, NY 11968-5009 · (631) 726-0409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | 336766 (NY) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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About NPI 1417536343
Kevin Dahlan, MD's National Provider Identifier is 1417536343, issued on Apr 7, 2021. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Stony Brook, NY. The record was last updated on Jun 24, 2025.