NPI Index

DR. DAGIM DESTA, MD

Internal Medicine

Active Individual
NPI: 1366024978

Practice Address

355 BARD AVENUE DEPT. OF MEDICINE VILLA BLDG 1ST FLOOR
Staten Island, NY 10310

Phone: (718) 818-2419

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Internal Medicine 207R00000X Yes 102742 (GA)

Frequently Asked Questions

NPI 1366024978 is the National Provider Identifier for DR. DAGIM DESTA, MD, a Internal Medicine provider located in Staten Island, NY. This NPI was enumerated on April 22, 2021.
DR. DAGIM DESTA, MD practices at 355 BARD AVENUE DEPT. OF MEDICINE VILLA BLDG 1ST FLOOR, Staten Island, NY 10310.

Quick Facts

NPI
1366024978
Type
Individual
Enumerated
Apr 22, 2021
Last Updated
Dec 24, 2024

Nearby Providers

Same Specialty