Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Dahlan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417536343

Kevin Dahlan, MD is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 444-4090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 240 Meeting House Ln, Southampton, NY 11968-5009 — (631) 726-0409

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 336766 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417536343
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address101 Nicolls Rd, Stony Brook, NY 11794-0001

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