Kevin Dahlan, MD
Ophthalmology, Retina Specialist in Stony Brook, NY. Individual provider (NPI-1).
NPI number1417536343
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1417536343
- Entity type
- Individual (NPI-1)
- Name
- Kevin Dahlan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2021
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207WX0107X | Ophthalmology, Retina Specialist | 336766 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
101 Nicolls RdStony Brook, NY 11794-0001
Phone 631-444-4090
Mailing address
101 Nicolls RdStony Brook, NY 11794-0001
Phone 631-444-4090
Other practice locations
240 Meeting House Ln
Southampton, NY 11968-5009
Southampton, NY 11968-5009
Phone 631-726-0409
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