Dr Charles Gian Dipierro, MD, MS, PHD, MPH is a
General Practice physician based in Stony Brook, New York. Dr Charles Gian Dipierro is licensed to practice in New York (license number 264574) and his current practice location is 100 Nicolls Rd, Suny Stony Brook, Dept. Of Preventive Medicine, Hsc L3, Stony Brook, New York. He can be reached at his office (for appointments etc.) via phone at
(631) 444-3902.
NPI number for Dr Charles Gian Dipierro is 1457659062 and his current mailing address is Po Box 1559, Suny Stony Brook, Dept. Of Preventive Medicine, Stony Brook, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457659062.
Physician's Profile
| Full Name | Dr Charles Gian Dipierro |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 100 Nicolls Rd, Stony Brook, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457659062
- Provider Enumeration Date: 03/06/2011
- Last Update Date: 08/28/2014
Medical Identifiers
Medical identifiers for Dr Charles Gian Dipierro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457659062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0101052873 (Virginia) | Secondary |
| 208D00000X | General Practice | 25MA07921600 (New Jersey) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 264574 (New York) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 0101052873 (Virginia) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 25MA07921600 (New Jersey) | Secondary |
| 208D00000X | General Practice | 264574 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Gian Dipierro is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Charles Gian Dipierro, MD, MS, PHD, MPH
Po Box 1559, Suny Stony Brook, Dept. Of Preventive Medicine,
Stony Brook, NY 11790-0989
Ph: () - | Dr Charles Gian Dipierro, MD, MS, PHD, MPH
100 Nicolls Rd, Suny Stony Brook, Dept. Of Preventive Medicine, Hsc L3,
Stony Brook, NY 11794-0001
Ph: (631) 444-3902 |
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